Diabetes is a progressive and severe chronic metabolic disease. It is a major public health problem, responsible for a high morbidity and mortality rate in the world and in Morocco. Our study involves 50 patients with type 2 diabetes recruited at the Hay Ennahda II Extention III Non-Communicable Disease Medical Center in Rabat. This is a descriptive and analytical observational study, the purpose of which is to assess the quality of life of Moroccan type 2 diabetic patients by means of a generic questionnaire "SF-12" and a specific questionnaire for diabetes "Diabetes-39". The results showed that diabetes negatively affects the quality of life of diabetic patients and established that the factors associated with their quality of life are multiple: factors related to socio-demographic characteristics (gender, ethnicity and marital status), comorbidities (hypertension and dyslipidemia), related to the pathology itself (obesity) and its chronic degenerative complications (diabetic neuropathy and obliterative arteriopathy of the lower limbs). Unlike the literature, some socio-economic characteristics (age, level of education, professional activity), others related to diabetes (age of diabetes and glycemic control) and therapeutic management do not affect quality of life in our study, this can be explained by the size of our sample. This preliminary study is a pilot study that introduces the issue of the quality of life of people with diabetes in Rabat. It will be continued to obtain a larger sample, in order to better study the peculiarities of the Moroccan patients in this field.

Background: Solid waste management has become the greatest problem facing many semi-urban and rural communities like Elele in Nigeria, and is fast becoming a serious health concern. The study therefore was carried out to assess the strategies developed by Elele community in solid waste management and recommend proper solid waste disposal strategies. Materials and Methods: The study adopted survey research method using data collected through self-administered questionnaire which were analyzed to generate data for the study. Results and Discussions: The result from the field research showed that majority 96.19% of the respondents have heard of solid waste, and (34.83%) of the solid wastes generated in Elele community was Garbage, composed majorly of food waste which were compostable to make local manure; 29.62% refuse waste made up of papers, plastics, cans and glass were generated. The result revealed also that dumping in open spaces (69.82%) was the most prominent disposal method practiced in Elele and only 1.09% of the population practice Land fill (Burial method). There was inadequate provision of closed top compacting trucks (29.03%) to handle refuse collection with protective measure in mind. The respondent’s acknowledgement on the indiscriminate disposal of Solid waste in Elele was high (96.67%) and listed factors responsible like: lack of awareness on accepted methods of solid waste disposal (38.55%), Lack of Community Participation (16.23%), and Financial inadequacy of government (l4.78%). Conclusion: The study revealed that dumping in open spaces (69.82%) was the most prominent disposal method, while the least was land fill practice (Burial method) 1.09%. The study recommends the participation of the Local Governments in enhancing and building the capacities of local communities to identify and promote proper waste disposal and management. In addition, develop strategies that minimize waste at household and community levels through re-use like in manure, or recycling in their vicinity.

Cervical cancer coexisting with pregnancy is a rare occurrence with an incidence estimated between 1 and 2/10,000 according to studies. The diagnosis presents a challenge due to cervical changes observed during early pregnancy, and treatment must balance the imperative to manage the mother's cancer while also considering the fetus. This association poses four major problems: the difficulty of diagnosis, the prognosis of the disease, the timing of surgical treatment, and the effect on the pregnancy and mode of delivery. This study presents a series of five cases of cervical cancer discovered during pregnancy between 2010 and 2013. The therapeutic management is similar to that of non-pregnant patients, although some adaptations are necessary due to the gravid state, and pregnancy does not appear to alter the prognosis of the cancer.

This study investigated the relationship between change management and institutional citizenship behaviour of office managers in tertiary institutions in Rivers State. It also examined the moderating role of institutional culture on the relationship between change manage and institutional citizenship behaviour. The study was carried out in eight (8) tertiary institutions in Rivers State. Descriptive survey design was adopted in the generation of data. The instrument for data collection used in this study was the questionnaire. The population of the study consisted of eight hundred and thirty-six (836) Office and information managers in seven public tertiary institutions in Rivers State. The respondents to this research are 270 participants which constituted the sample size obtained through Taro Yamene Sample Size Determination Formula. Spearman ranked correlation and partial correlation were statistical tools used for testing the null hypotheses with the Statistical Package for Social Sciences (SPSS). The findings of this study revealed that change management significantly and positively influences institutional citizenship behaviour in tertiary institution in Rivers State. It was also found that institutional cultures strongly moderate the relationship between change management and institutional citizenship behaviiour Thus, the study concluded that change management is a veritable tool for enhancing institutional citizenship behaviour of office managers strongly moderated by institutional culture in tertiary institutions in Rivers State. Based on the findings and conclusion drawn, a number of recommendations were made, among which is that tertiary institutions should involve employees in institutional decisions and avoid prejudice and discriminatory in decisions consider these issues in institutions.

Since the onset of the COVID-19 pandemic, it has become evident that individuals living with diabetes are at a heightened risk of experiencing severe forms of the disease. As such, a retrospective descriptive study was conducted in 236 diabetic patients who were admitted to the Ibn Sina hospital in Rabat due to COVID-19 infection. The study aimed to provide a comprehensive overview of the clinical, biological, radiological, and evolutionary parameters of diabetic patients infected with COVID-19. This article summarizes the results of the study and compares them with existing literature.

Calcific aortic stenosis can be associated with gastrointestinal bleeding mainly from angiodysplasias which refer to Heyde syndrome. This association is considered as a form of acquiredVon Willebrand syndrome.Aortic valve replacement allows cessation of gastrointestinal bleeding and the need for blood transfusions in these patients. We describe three cases with medical history of aortic stenosisand they presented gastrointestinal bleeding related to angiodysplasias of the stomach and colon. In one case, aortic valve replacement leads to a stable hemoglobin with no further episodes of gastrointestinal bleeding.

Objectives: The main purpose of the study was to challenges of utilization blended teaching strategies in business education courses in universities in Enugu State. The study was guided by two research questions and four null hypotheses. A survey research design was adopted for the study. The population used for the study was 25 Business Educators in two public universities offering Business Education programme in Enugu State. There was no sampling due to the manageable size of the population. The instrument used for data collection was an 18 item questionnaire grouped into two sections according to the research questions that guided the study. The items were structured in four point rating scale. The instrument was validated and the reliability of the instrument was determined using Cronbach Alpha which yielded 0.85. Out of 26 copies distributed, 22copies were returned giving 88%return rate. Mean, standard deviation and t- test statistics were the statistical tools used. Based on the data analysis, the study identified that university administrative and lecturers’ challenges of utilization blended teaching strategies in business education courses in universities in Enugu State. Based on the findings of the study recommendations were made among which include; that university administrators should provide the needed ICT facilities for blended teaching strategies in business education and supporting staff should be employed to provide the needed supportive services to the Business Educators while practicing blended teaching strategies.

Recently, Electronic Health Records (EHRs) were regarded as an important factor implicating the majority of health care facilities. This study identified the effectiveness of electronic health records to health care outcomes and determined the challenges experienced by health practitioners while putting EHRs into practice. The research was descriptive and cross-sectional. The study was conducted in selected government and private hospitals throughout Saudi Arabia's regions. A sample of three hundred twenty (N = 320) health practitioners who are members of the medical department, nursing department, and paramedical department were the participants of the study. A self-structured questionnaire, which included questions about the effectiveness of EHRs in five categories: quality of patient care, patient engagement, support team-based care, workload, data liquidity; and challenges in the implementation of electronic health records, was the tool utilized for data collection. Data were analyzed with the mean, standard deviation, Mann-Whitney and Kruskal-Wallis’s tests, and Spearman's rho. The study revealed that EHRs are moderately effective in improving health care outcomes. Age, place of work, and years of experience with the use of EHRs are critical indicators of effectiveness, but health practitioners’ discipline is not a factor in determining the effectiveness of EHRs use. Health practitioners who apply EHRs to improve health care outcomes particularly to support team-based care face more challenges in their implementation.

Chromoblastomycosis also known as chromomycosis is a chronic fungal infection of the skin and subcutaneous tissue. The infection usually results from traumatic injury or inoculation of microorganism from a specific group of dematiaceous fungi.

Testicular tuberculosis (TB) is a rare form of genitourinary TB. It presents as a painless or slightly painful scrotal swelling and so it is difficult to differentiate from typical epididymo-orchitis or other conditions such as tumor or infraction. Middle aged males, especially of 20–40 years of age are most commonly affected, and presented with painful or painless scrotal swelling with or without discharging sinus. Epididymal involvement is usually seen in testicular TB. Ultrasound (USG) and USG-guided fine needle aspiration cytology of testicular swelling for the diagnosis was done, CBNAAT of aspirated fluid of testicular swelling confirm the diagnosis. Anti-TB chemotherapy is the mainstay of treatment to ensure the complete resolution of the lesion. However, in very few cases, surgical removal is required for both diagnosis and treatment. Here, we report a very rare case of left sided isolated testicular TB in a 60-year-old male who was completely cured with 6 months regimen of anti-TB chemotherapy.

Background: Medical waste is a source of generation of hazardous biomedical waste and its generation and disposal is an important aspect. With the rapid rise in the number of confirmed cases, the amount of COVID-19 related medical waste also increased significantly. Aim: To assess knowledge, attitude, and practice of nurses toward covid-19 related medical waste management, in hospitals of Arar, Northern Saudi Arabia. Method: This was a descriptive cross- sectional study. A pilot study was carried out on a sample of 10% of sample to test the feasibility of the study and clarity and applicability of the tool. A constructed questionnaire was used to collect the data .The collected data was analyzed using statistical package for social studies (SPSS) version 20. Result: Most (86.2%) of the participants had guidelines in hospital regarding medical waste during the Covid-19 period. More than third (35.2%) had a high Knowledge rate of hospital waste disposal (5th levels), 30.3% had 4th level, 24.8% had 3rd level of knowledge rate of hospital waste disposal. Regarding the attitude of participants toward hospital waste disposal during covid-19 outbreak, 71.0%strongly agree and 22.8% agree that gloves are necessary for handling medical wastes, 69.0% strongly agree 23.4% agree that wearing PPE decreases the risk of contracting infection at the hospital. There was a significant relation between years of experience and frequency of separation of medical waste from general waste, cleaning the spills of liquid Medical waste immediately with proper procedure and sorting the medical waste during collection. Conclusions: Most of the hospital had guidelines regarding medical waste disposal during the Covid-19 period. Nurses have a good level of knowledge, a good attitude, a good practice regarding the medical waste disposal during the Covid-19 period.

The Institute for Immediate Decisions (UitVoerbaar Bij Voorraad) currently does not prioritize human rights and equal protection before the law, because the regulations regarding the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) are uncertain in their application. The purpose of this study is to find and analyze the Civil Case Execution Regulations regarding the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) which currently have not been able to realize Pancasila justice; Weaknesses of the Civil Case Execution Regulations regarding the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) in Indonesia at this time; and Reconstructing Civil Case Execution Regulations for the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) based on the Pancasila Value of Justice. In this study, the constructivism paradigm was used, the socio-legal research approach method. The data sources in this study consist of primary data sources and secondary data sources consisting of primary legal materials, secondary legal materials and tertiary legal materials. Related to qualitative descriptive data analysis. Legal theory as an analysis of Grand Theory (Pancasila justice theory), Middle Theory (legal system theory), Aplaid Theory (Progressive Law). The findings of the study are that (1) the Civil Case Execution Regulation on the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) based on the Value of Justice has not been able to realize Pancasila Justice, because it does not prioritize human rights and legal certainty as characteristics of Pancasila justice. Apart from that, it appears that unequal treatment before the law, because of the regulations as stipulated in article 180 paragraph (1) HIR / article 191 paragraph (1) RBG, there must be Authentic Evidence of the Plaintiff, so the Immediate Application of the Decision cannot be dropped if each - each party has authentic evidence. (2) Weaknesses in the Civil Case Execution Regulations regarding the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad). In substance, this regulation is still floating (floating norm) so that the Immediate Decision cannot be implemented and executed (non-executable). This is what causes the legal structure, namely the Court does not comply with the Application of the Immediate Decision (Uitvoerbaar Bij Voorraad). This fact can become a legal culture that is not good, both within the judiciary itself and among justice seekers and society. (3) Reconstruction of Civil Case Execution Regulations on the Implementation of Immediate Decisions (UitVoerbaar Bij Voorraad) based on the Value of Justice by Removing Article 180 paragraph (1) HIR / Article 191 paragraph (1) RBG, to realize Pancasila justice which prioritizes human rights and equality before the law.

This paper selected three clean energy news reports from China Daily to analyze the logico-semantic relations and function of the clause complex in the discourse based on Halliday’s Systemic Functional Grammar. The study aims to explore the characteristics of logico-semantic relations in the scientific news report, so as to have a deeper understanding of the sentence structure in the text. According to the five categories of logico-semantic relations, the study found that there are 64 clause complexes, with 22 locution projection, 13 enhancement relation, 12 elaboration relation, 9 idea projection and 8 extension relation. Projection clause type is generally used to evaluate the progress and effect of energy development projects; extension clause type usually emphasizes the impact of energy development or energy projects; enhancement clause type indicates when, where and why the energy transition and energy development projects are taking place and elaboration clause type is used to provide additional instruction of the project. In addition, this study also provides a reference for English learners and news writers.

Flavonoids has been shown to have anti-inflammatory and anti-oxidant properties, which may have potential protective effects against mechanical induced models of pain. In this context, administering methanolic extract of artocarpus altilis (MEAA) during the experimental rats could potentially increase the pain threshold, which could in turn, increase the quality of health and life expectancy. Dearth literature exists on the analgesic effects of Bread fruit on pain. Hence, this study aims at investigating the potential anti-nociceptive properties of MEAA to increase paw withdrawal latency using murine model. 25 Wistar rats were randomly selected into five groups: Group 1=(control); Group 2, 3 & 4 (100, 200, 300-mg/kg MEAA, respectively) and Group 5=100-mg/kg Aspirin (ASP). The rats were subjected to mechanical pain-behavioral studies at 30, 60, 10 and 120 minutes after administration of test substances. Results obtained showed that, at 30 minutes post administration of MEAA and ASP, significant increase (p<0.05) in pain threshold was observed in 100, 200, 300-mg/kg and ASP groups when compared to control. At 60 minutes, significant increase (p<0.05) in pain threshold was observed in 200, 300-mg/kg and ASP groups when compared to control. Finally, at 90- and 120-minutes, significant increase (p<0.05) in pain threshold was observed in 300-mg/kg group only, when compared to control. In conclusion, graded doses of MEAA showed analgesic properties by increasing pain threshold when administered 30, 60, 90 and 120 minutes prior to subjection of the animals to mechanical pain. Therefore, MEAA have shown analgesic properties that could even be more effective than the reference drug (aspirin).

This study assessed the effects of self-efficacy on the academic achievement of biology students in secondary schools in Delta State. The study population comprised all biology students in public senior secondary schools in Delta State. The sample was 245 biology students drawn from six (6) schools using stratified random sampling technique. The pre-test post-test control group quasi-experimental design was used in this study. Biology Achievement Test (BAT) and self-efficacy questionnaire were used as instruments for data gathering. The data collected were analysed using the mean, standard deviation, and t-test. Findings revealed that, although there is a significant difference between the post-test scores of biology students taught with the self-efficacy strategy and those taught with the lecture method, there is no significant difference between the post-test scores of male and female biology students taught with the self-efficacy strategy. The study concludes that self-efficacy is a major variable that affects the academic achievement of biology students in secondary schools in Delta State. The study recommends that the government, through the Ministry of Education, train teachers to acquire self-efficacy skills to help them teach more effectively, efficiently, and make the teaching-learning process more meaningful in order to improve the academic achievement of biology students, boost students’ confidence in their ability to perform a task efficaciously, and not give up while facing difficulties.