Niger J Clin Pract
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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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Prevention of malpractice is crucial for health care professionals since it could lead to morbidity and mortality. Personality traits of students, being health care professional candidates affect their academic self-efficacies and malpractice tendencies. ⋯ It was observed that neuroticism and extraversion personality traits in students were found to be associated with low academic self-efficacy and increasing malpractice tendencies. Investigation of academic self-efficacy and malpractice tendencies of the students in accordance with their personality traits would contribute to the improvement, arrangement, and updating of educational curricula.
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Optic disc swelling in clinical practice is worrisome. It may be associated with benign, sight- or life-threatening conditions. The common etiologies of optic disc swelling are variable in different communities. ⋯ Papillitis, brain tumors, and tilted disc were the most frequent etiologies of optic disc swelling in this study. These etiologies should be excluded in patients with optic disc swelling in our clinics.
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Dentists are often confronted with challenges concerning the determination of the treatment type for questionable teeth (retention or extraction) in their routine dental practice. The objective of this review was to explore the available literature pertaining to the factors influencing clinical decision-making and treatment strategies of dentists regarding tooth retention or extraction. Explorative analysis of the literature was conducted based on its relevance to the subjected study area and scope. ⋯ The analyzed studies highlighted that a successful treatment plan is based on the practitioner's knowledge, abilities, and skills as well as patients' preference, which is also a determinant of treatment success in restorative dentistry. Multidisciplinary dental treatment is generally adopted for decision making in dental clinics. Overall, the treatment plan should be based on the extensive learning and keen observation of the disease and the associated factors which enable long-term success of the treatment.