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...
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...
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...
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...
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...
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 ...
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...
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 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...
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...
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....
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 ...
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...
The assignment that we gave ourselves was: Cut the ecological impact of Mueller Building in half while creating healthier working conditions for all building occupants. The analysis on the following pages reveals that it is, indeed, possible to reduce significantly Mueller's aggregate impacts in many areas. The majority of environmental improvements that Mueller could make would actually save money! For example, by following the suggestions outlined in the energy portions of this study Muelle...
This paper demonstrates that interdisciplinary alliances on environmental education projects can effectively address the gap between complex environmental problems in the real world and disciplinary curricula in a university. We describe an alliance between an advanced communication course and a general science course wherein we addressed interconnections of energy efficiency, economics, and global climate change with respect to their impact on individuals, local businesses, and society. This...