Niger J Clin Pract
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The primary objective was to determine the occurrence of frailty in elderly patients presenting with the acute coronary syndrome (ACS). The secondary objective was to study the association between the deficits in health with the severity of ACS at presentation among them. ⋯ Nearly one in two patients presenting with ACS were found frail. Depression and frailty were associated with poorer ejection fraction and severe disease. Correction of anemia and improvement of low-normal hemoglobin levels could reduce frailty and in-turn improve outcomes in ACS.
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The study aimed to define the association between spinal degeneration parameters and the rise in smartphone usage time. This was a cross-sectional study. ⋯ The analysis of cervical spine MRI data of young adult patients with neck pain shows that the smartphone usage time is effective in cervical sagittal balance disruption, disc degeneration, and development of Modic changes.
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The healthcare delivery in Nigeria operates in a turbulent environment with professional rivalry leading to job dissatisfaction among players. This lack of cohesion, which has shown the need for appropriate leadership, has made healthcare professionals function in an environment of uncertainty, disorder, and ambiguity. ⋯ Very few of the employees had high job satisfaction and leadership styles impacts health workers' job satisfaction differently. Transformational styles were more related to health workers' job satisfaction than the transactional styles. Laissez-faire exhibited a negative relationship with job satisfaction. There is need for leadership skills on the part of the healthcare leaders; age of leader and duration of tenure needs to be further benchmarked to improve job satisfaction among the healthcare workers.
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Africans exhibit great diversity in cytochrome P450 2B6 isoenzyme (CYP2B6), the major enzyme in efavirenz metabolism. ⋯ The intermediate metabolizer genotype was more common than the extensive and poor metabolizer genotypes in our study sample. We recommended further studies to investigate the risk of efavirenz underexposure and overexposure in carries of the extensive and poor metabolizer genotypes respectively in our patient population.
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To investigate the prevalence, imaging features, and predictors (age and gender) of upper cervical spine degenerative joint disease (DJD). ⋯ DJD of the upper cervical spine is a relatively common incidental finding frequently captured in CBCT scans acquired for dental purposes.