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.

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.

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.

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.

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.

[3, 17]: On April 10th 2023, the 180th world homoeopathy day is to be celebrated to honor the 180th birth anniversary of Dr. Samuel Hahnemann (10.4.1755- 2.7.1843), the father of homoeopathy. The current article is a tribute to his immense contribution to the medical science and celebrates his birth anniversary in 2023. When a patient visits a doctor for any chronic physical or mental problem, invariably the doctor gets the current status of the thyroid gland of the patient. As is evident, the COVID 19 impacted the thyroid gland as well and which continues to manifest problems in COVID 19 affected patients. Cases of naturally non-resolving or long term hypothyroidism are rising in post COVID 19 patients. As cases are rising, it implies that the modern system of medicine is finding its challenging to deal with and it is here that Homoeopathy can play an active role. The current article explores what Homoeopathy can offer to masses while being cost effective and clinically effective as well. The article suggests one treatment protocol that can be applied at the state and national level in the public sector and as well as private sector. It looks at the treatment protocol while aligning with the Essential Drug List of Homoeopathy that is in the public domain of AYUSH ministry of government of India.

Visual impairment has been reported as one of the leading causes of physical impairment among older adults. Age related visual loss has been found to be associated with increased risk of depression. Affective support which usually come from family has been found to have positive impact on mental health. This descriptive study was carried out to determine the association between visual impairment, family support and depression among older adults aged 60 years and above at the ophthalmology clinic of a tertiary hospital. All consenting participants were consecutively selected over the three months study period. Trained ophthalmologist and Ophthalmic Nurse took the respondents’ sociodemograhic data and administered the Family support scale among the elderly and the Hospital anxiety and depression scale. Their visual acuity was also documented. Prevalence of depression was 8.7% among respondents. Both visual impairment and family support were significantly associated with depression. However, further regression analysis found family support as the only predictor of depression.

Marriage dispensation is the granting of permission to marry against deviations from the minimum age permitted in the marriage law. Marriage dispensation can be requested from the court with urgent reasons and must be married immediately. This urgent reason has caused debate, because based on the determination of the religious court as a whole it grants or gives dispensation approval to prospective brides who are pregnant or have committed acts prohibited by religious law and decency. While reasons other than that can be rejected by the judge. The purpose of this research is to analyze and find the reconstruction of the regulation of marriage dispensation in the perspective of human rights based on the value of justice. This study uses the Postpositivism paradigm, with an empirical juridical approach that uses primary data. Methods of data collection using interviews, observation, and field systems. The legal theory used in this dissertation is the theory of justice as the Grand Theory, the middle theory of the legal system theory and the Applaid theory of the theory of benefit. The results of this dissertation research found that the regulation of marriage dispensation in the perspective of human rights has not had the value of justice, namely the current marriage dispensation system based on Law Number 16 of 2019 has not fulfilled a sense of justice related to equal rights before the law and Article 28 B of the Law -The 1945 Constitution of the Republic of Indonesia, it can be seen that dispensation is only given to prospective brides who are pregnant. The current weaknesses in the regulation of the dispensation of marriage in the perspective of human rights are weaknesses in legal substance, legal structure and legal culture. The weakness of the marriage dispensation system is that it does not provide a clear understanding of the urgent reasons, causing debate regarding the urgent reasons and giving rise to the interpretation that the urgent reason is that the candidate is pregnant and results in differences of opinion from the judges. Reconstruction of the regulation on the dispensation of marriage in the perspective of human rights based on the value of justice, namely by reconstructing the provisions in Article 7 paragraph (2) of Law Number 16 of 2019, namely that it is necessary to change the sentence or phrase "reasons are very urgent" and amended with the phrase "which based on the interests of the candidate.

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).

Introduction: Surgical site infection is defined as infection occurring within 30 days after surgical operation and affecting either incision or deep tissues at the operation site. SSIs cause substantial morbidity and mortality. This study was aimed at obtaining the incidence of SSI and to evaluate the risk factors as well as to formulate an antibiotic policy. Aims and Objectives: To determine the incidence, risk factors and the bacteriological profile for SSI and their antimicrobial susceptibility patterns at PDUMC, Rajkot. Materials & Method: Total of 872 pus samples from surgical ward were studied from January 2022 to June 2022. The isolates were identified by colony morphology, Gram’s stain and conventional biochemical reactions. Antibiotic sensitivity testing was done by Kirby-Bauer disc diffusion method as per CLSI guidelines 2021. Results: Total 272 microbial pathogens were isolated. Out of these, 28(10.29%) were Gram- positive Cocci, 244(89.70%) were Gram-negative Bacilli whereas 64 showed polymicrobial growth. Out of total Gram negative isolates, 108(44.26%) showed Klebsiella species followed by Pesudomonas aeruginosa 72(26.50%). Out of total Gram positive isolates, Staphylococcus aureus 16(57.14%) is the predominant pathogen followed by Coagulase Negative Staphylococci 12(42.85 %). Conclusion: The study gives an insight into bacterial pathogens and their antibiotic sensitivity patterns isolated from surgical site infections. Surveillance of SSI helps in early detection, appropriate use of antibiotics & to reduce the rate of SSI.

This article analyzes the measures and regulations introduced in the countries of the Middle East regarding the fight against corruption at a public and private level, with the consequent analysis of the changes that have occurred over the years since the signing of the Arab Anti-corruption Convention and then arriving at the very latest regulatory changes introduced locally in some States with reference to Anti-Corruption legislation and the protection of employees in cases of Whistleblowing. Specifically, the situation was quickly analyzed in Kuwait, Saudi Arabia (KSA) and the United Arab Emirates (UAE), which to date are the most exemplary models in terms of business and market protection, also in consideration of the sudden growth which they observed in terms of setting up a company at a private level.

Background: The aim of this research is to evaluate pregnancy outcomes in patients with placenta previa due to the site of placentation. Method: This retrospective study included 105 cases conducted in the OBG department of Al AIN hospital for three years (January 2015 to October 2018). All cases of placenta previa admitted during this period were included in the study. Case records were obtained from the medical record section and carefully analyzed to find out the incidence, various types of placenta previa, its clinical presentation, and its outcome in relation to mode of delivery, birth weight, and maternal and perinatal morbidity. Results: Placental attachment site influenced the outcome of pregnancy. Placental attachment to the anterior wall was associated with shorter gestational age, low birth weight, low Apgar score, higher prenatal bleeding rate, increased postpartum hemorrhage, longer duration of hospitalization, higher blood transfusion and higher hysterectomy rates compared to cases with lateral/posterior wall placenta. Placental attachment at the incision site of previous cesarean section significantly increased the incidence of complete placenta previa compared with placental attachment at a site without incision, but did not significantly influence pregnancy outcomes. Placental attachment to the anterior wall was an independent risk factor for postpartum hemorrhage in patients with placenta previa. Conclusion: The site of placental attachment in patients with placenta previa influences the pregnancy outcome. When the placenta is located on the anterior wall, clinicians should pay attention to the adverse pregnancy outcomes and the possibility of massive postpartum hemorrhage.

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.