Niger J Clin Pract
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The study aims to assess the quality of care provided at a diabetes outpatient clinic of a tertiary hospital in Nigeria using quality indicators approved by the National Diabetes Quality Improvement Alliance (NDQIA). ⋯ Although the organization of the outpatient services allowed for good performance with regards to "free" services such as blood pressure and weight measurement, it performed suboptimally for foot examinations. Performance indicators that required payment were consistently underperformed. Regular assessment of the quality of care may help in the identification of opportunities for improvement in the organization and delivery of care.
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Instrument fracture is a serious concern in endodontic practice. ⋯ According to the AFM analysis, instruments produced by twisting method (TF 25.06) had better surface quality than the instruments produced by traditional grinding process (Mtwo 25.06 files).
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Case Reports
A case of rudimentary horn pregnancy diagnosed after failed attempts at pregnancy termination.
We report a case of rudimentary horn pregnancy at 12 weeks gestation with fetal demise misdiagnosed ultrasonographically as an intrauterine pregnancy in a private clinic. The patient was referred to a tertiary care hospital after failed attempts at terminating her pregnancy. ⋯ Excision of the rudimentary horn and the ipsilateral fallopian tube was carried out by laparotomy. Failure to terminate pregnancy after several attempts should alert the physician about the possibility of a uterine anomaly and a pelvic MRI scan may help in the diagnosis of a suspected rudimentary horn pregnancy.
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Mental foramen (MF) locations were determined according to gender and age in terms of the vertical distance from the surrounding anatomical structures and the vertical and horizontal size of the MF. ⋯ Knowing both the position and the distance of the MF from the surrounding anatomical structures is not only useful information for surgery, but will also help avoid complications such as paresthesia.
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Torus mandibularis (TM) and torus palatinus (TP) are believed to occur commonly among black Africans. There is a dearth of literature on Nigerians. The few reported studies were done in the South-West Nigeria. This is the first report of the prevalence of tori among the Ibo-speaking ethnic group in the South-East Nigeria. ⋯ The prevalence values are within the range of values reported in other Nigerian studies but differ widely with values from other ethnic groups from other countries.