Niger J Clin Pract
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Case Reports
Bilateral accessory middle turbinate presenting as double middle turbinate: A unique case report.
Many anatomical variations of the middle turbinate (MT), including pneumatized, paradoxically curved, bifurcate, trifurcate, secondary, and accessory, have been described. The most common is pneumatized MT (concha bullosa), but other less common variations may also impact the outcome of clinical management. ⋯ By recognizing the unique anatomical variant by endoscopy or imaging will help us to improve the management. We report an endoscopic presentation of a rare accessory MT.
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Many studies have investigated the association of the methylation of gene and tobacco use disorders (TUD), but results remain ambiguous. ⋯ We think that it is important to detect APC2 methylated cases earlier and to advise them to quit smoking.
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Comparative Study
Comparison of oxidative stress status and quality of life in participants with type 2 diabetes mellitus according to treatment modality.
Oxidative stress triggered by hyperglycemia in diabetic patients leads to macrovascular and microvascular complications, resulting in deterioration in the quality of life. ⋯ It was found that oxidative stress parameters were higher and quality of life was worse in the insulin-treated participants than participants treated with oral antidiabetic drugs. These results may be closely related to more severe chronic complications in insulin-dependent diabetes.
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The fetal cerebellum has been shown to be least affected by external pressures and molding during pregnancy and therefore might provide more accurate estimation of GA. ⋯ TCD and TCD/AC ratio can be employed as an objective parameter to establish the GA in normal as well as IUGR pregnancy cases.
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Psychological distress and health-related quality of life among stable patients with bronchiectasis.
Bronchiectasis is characterized by chronic symptoms and impaired physical activity. Anxiety and depression usually complicate chronic illness. Thus, underdiagnosis of psychological distress in bronchiectasis may lead to increased morbidity and mortality. ⋯ Symptoms of depression and anxiety are common among patients with bronchiectasis and these symptoms have a negative impact on HRQOL.