The purpose of the study was to investigate “Effects Of Roasted Garlic With And Without Moringa On Mean Atrial Pressure, Thyroid Stimulating Hormone And Testosterone Among Sedentary Men”. Selection Of Variables: The following variables were selected for this study. I. Dependent Varibles: Mean Atrial Pressure, Thyroid Stimulating Hormone And Testosterone. II. Independent Variables: 1. Roasted Garlic With Moringa Oleifera 2. Roasted Garlic 3.Control Group. Experimental Design: forty five The subject were selected for this study through the random group design consisting of pre and post test, forty five men randomly divided into three groups, the group was assigned as an Experimental Group I Experimental Group II and control group. The groups are 1. Roasted Garlic with Moringa Oleifera 2. Roasted Garlic 3.Control Group. Training Schedules: During the training period, the experimental group underwent their training program period of eight weeks for all days. The experimental groups underwent training for forty five minutes of duration in evening hours between 4:30 to 5:30 p.m for seven days per week. Statistical Technique: Analysis of Covariance statistical technique was used, to test the significant difference among the treatment groups. If the adjusted post-test results were significant, the scheffe’s post hoc test was used to determine the paired mean significant difference. Thirumalaisamy R. (2004). Result: After Incorporate Statistical Technique, It Was Found That A Significant Decrease Mean Atrial Pressure And Thyroid Stimulating Hormone And Testosterone In Experimental Group I (Roasted Garlic With Moringa Oleifera), when compared with experimental II and This Change Due To Eight Weeks Of training Among sedentary Men.

This Article deals with the issue of independence struggle in Africa. Our goal is to show how African freedom-fighters struggled against the colonial system in Africa for independence reasons. Despite the independence they got, they are always confronting the negative impacts of that struggle, not only in political fields but also in economic and social ones. So, from 1960 to the present day, African nationalists are confronting arrestations, imprisonments, accusations, tortures, murders, coups d’états, and so on. Through socio historical approach, we have noticed that the colonial system is always gaining ground in Africa through some strategies.

Development of high temperature dense refractory bricks using clay minerals and grog has been carried out with a view to determining the consequence of variation in percentages of Al2O3.2SiO2.2H2O and grog on the properties of locally produced dense bricks. The raw materials were used to compose five batches (of five samples each) from all the clay minerals and their blends (ED1–EN5). The clay bodies were hydraulically shaped and oven dried at 1100C. The properties of the produced bricks investigated after sintering at 13500C indicated that samples ED1–EN5 had shrinkage ranging from 8.4%-11.5% with corresponding bulk density of 1.57g/cm3–2.26g/cm3 respectively. The investigation revealed that samples ED1–EN5 of the bricks as stated above had compressive strength ranging from 13.5MPa–23.1MPa with corresponding porosity ranging from 12.84% -23.39% respectively. The estimated refractoriness using shuen’s formula shows that samples ED–EN5 had 16660c-17680c, while the result of the refractoriness using pyrometric cone equivalent indicated that samples ED1–EN5 had cone 30(16600C)– <34(<17500C) respectively. The spalling-count test result revealed that samples as stated above had number of cycles ranging from 19-35 respectively. It was discovered that the higher the grog content, the lower the shrinkage, bulk density and compressive strength while the higher the porosity, spalling-count-cycle with refractoriness, and vice versa when considering blended samples with increase in Al2O3.2SiO2.2H2O content. However, sample EN4 gave the most apposite result when considering the properties stated above. Therefore sample EN4 is recommended for mass production of dense refractory bricks for high temperature applications.

Modern handball is still evaluated by the criteria of 50 years ago. They are full of the report on the work and preparation of the national women team of Russia in handball for the World Cup 2017 in Germany. A lot of unrelated secondary parameters (height, age, accuracy of shots) can be replaced by a computer version of the upcoming match based on innovative PIRS technology. The basis of the PIRS model is the difference created by the player in the score which is added to the final score of the team. Since you have to play both with your superior opponents (negative difference) and downstream ones (positive difference), then a rating scale is created to display this difference. The rating stability allows you to simulate the upcoming match. The difference in the ratings in one action is converted into the difference of goals scored and conceded in a personal meeting and can be checked for compliance with the actual results obtained. The game consists of a sequence of diverse single combats (> 50 components) that end with a shot. Read more at www.ra-first.com. The balance of the won and lost single combats in each component in each pair of players is converted to the player's rating for this component. The fact of winning single combat isn’t used in the calculation, but its cost does that means the expected change in the score in the case of winning single combat. The player's rating for the game component exponentially falls from the number of single combats in this component in the course of the game. This allows you to pre-allocate the number of single combats in each component so as to win their largest number. Due to the stability of the rating estimation player's ratings for all components can be obtained from the previous match. It is possible to calculate the most favorable arrangement for the team which the greatest number of single combats will be won in based on the distribution of the opponent's activity according to the positions of the players and the components of the game and placement during the match. From the DB the algorithm generates the most advanced combinations in the attack and the most dangerous attacks of the opponent in the defense. The result of the work is the expected maximum possible score of the game which must be on the scoreboard when the players fulfill all the conditions. Existing Instat, Basket-stats, ICEBERG, LONGO Match PRO, FUTSALSTAT, etc. form the headache of a trainer from the statistics of past games. PIRS technology provides already calculated solutions for the best result of the upcoming match. The trainer will not be able to compete with PIRS, since the information pool called handball is too large for one person. Therefore, the resource of the game in matches of different levels is used only by two thirds. Provided 50% of the recommendations are fulfilled, the team will receive 20 - 30% of the points collected additionally. An example of the work is shown at the match of Russia and Poland women teams on the World Cup on February 25, 2017.

Background: Over last decade progressive increase in the rate of deliveries by cesarean section, is a cause of major public health concern due to potential maternal and perinatal morbidity. The driving factor leading to steady increase in cesarean delivery is not completely understood and there is lack of consensus on the appropriate cesarean section rate. This study will present the cesarean section rate in primigravida at our institute, indications of cesarean section and associated maternal and fetal morbidity. Methods: This was a retrospective study done on primigravida who delivered by cesarean section in the department of Obstetrics and Gynecology, SMBT institute of medical sciences & research center during one-year period. Result: The incidence of cesarean section in primigravida in our study was 29.09%. Most common indication of cesarean section in primigravida was fetal distress 39.81%. Amongst 41 cases of cesarean sections done for fetal distress, 33 cases had spontaneous onset of labor, 5 cases were induced with pgE1. Other common indication of cesarean section was cephalopelvic disproportion in 12.62% of cases, oligohydramnios in 11.65% of cases and breech presentation in 9.71% of cases. Most common antenatal high-risk factor was hypertensive disorder of pregnancy in 18.44% of cases. Blood transfusion and postpartum hemorrhage were the maternal morbidities noted in our study. Common cause for NICU admission was respiratory distress syndrome. Conclusion: Standardization of indications of primary cesarean section at tertiary center level is required. So that sequential annual audit of cesarean sections can help to strategize improvement of antenatal care for the reduction of primary cesarean section rate.

This research study was conducted in Federal Medical Centre, Owerri Imo State, precisely at the fertility clinic of the hospital. The copies of the validated questionnaire were administered by the researcher to the respondents at the area of the study. 67 questionnaires were distributed, completed and all collected back. This resulted to a 100% return rate. The process took 4 days. The collected data was analyzed using a descriptive statistics of frequencies, percentages and mean scores as well as cumulative or cluster mean scores. The frequencies and percentages were used on cluster 1and 3 while mean scores and cluster mean scores were used on cluster 2. The data revealed that 58 respondents representing 86.6% responses majorly agreed that infertility is the inability of a couple to conceive after one year of regular sexual intercourse whereas the rest 9 respondents, representing 13.4% showed different understandings. Also in item No.2, 38 respondents representing 56.7% responses accepted that hormonal imbalance is the most common cause of infertility in females while the remaining 29 respondents or 43.3% response expressed other views. At the same instant 26 respondents or 38.8% responses expressed undescended testis as the most common cause of infertility in men whereas 61.2% responses collectively maintained that either low sperm count, ejaculatory dysfunction or prostate cancers may be the causes of infertility in men. In item No. 4 a total of 36 respondents or 53.7% responses showed that they have never gotten a child of their won while the rest expressed they have one, two or three children of their own respectively. Furthermore, expressing the number of years of infertility experience, 25 respondents representing 37.3% response said they have had 6 to 7years infertility experience whereas the rest said they have had between 0-2years, 3-5 years, and 8years above, infertility experience. In item 6, a total of 49(or 73.1%) response reveals that they have had miscarriages before but 18(or 9%) said No. From statistics, age and gender have significant relationship as far as infertility is concerned. While infertility is seen to occur more in people of the age cohort 30-35 years, it is observed that women are more vulnerable than men.

The study was conducted Kingdom of Saudi Arabia in 2019. This study aimed to assess knowledge, attitude and practice towards use of physical restraints among nurses those working acute In-patient care settings. Participants were Registered nurses who are working in tertiary care centre. Descriptive design was adopted; sample was selected through convenient sampling technique. The inclusion criteria for this study were Registered nurses working in inpatient non-critical areas total of 138 nurses were eligible. The final sample consisted of 125 nurses with 86% response, majorities were females (88.8%). 70% of the participants were between age of 31-40 years. Higher numbers had completed Bachelors in Nursing Bachelors in Nursing. 79% participant’s position as registered nurse III and 54.4% were shift in charge of their units. The mean score on knowledge scale was above average of 26.31 ± 2.60 that indicates good knowledge about use of restraints. Mean score on attitude was 30.57 ± 4.56 and suggest favourable attitudes among the participants towards use of physical restraints. The mean score of practices related to use of restraints was 35.36 ± 2.17. These findings indicate good practice related to use of physical restraints among nurses, with the median Knowledge Score Total being highest in Males. However, there was no significant difference between gender with attitude and practice of the nurses with related use of physical restraints. In relation to designation There was a significant association found between the 3 nurses’ groups in terms of Knowledge Score Total (χ2 = 6.990, p = 0.030), with the median Knowledge Score Total being highest in the Designation: Registered Nurse II group.

Pain assessment is a significant issue in post-operative patients. Surgical ward nurses are responsible to assess and document patient’s pain postoperatively and provide pain medications as per the guidance of physicians. Ward nurses usually underestimate patient’s pain which may delay pain relief and post-operative recovery of surgical patients. Main purpose of this study was to observe the practice of pain assessment and its documentation by nurses in surgical ward of tertiary care hospital. In this study, all adult patients after general surgery, gynecology and orthopedic surgery were included. Patient’s medical records were reviewed to see documentation of static and dynamic pain scores, any rescue analgesia provided and associated complications for first 24 hours postoperatively and recorded in specific data collection form. Total 260 patients were included in this study in which 35.8% were male and 64.2% were female. For post-operative pain relief, PCA (Patient controlled analgesia) was used in 63% of patients and epidural analgesia in 37 % of the patients. As per documentation, 15 patients (5.8%) had moderate pain at rest (static pain) on arrival in surgical ward and 77 patients (29.6%) had moderate pain on movement (dynamic pain) however only seven patients received rescue analgesia on arrival in surgical ward. Post-operative pain assessment and documentation was found appropriate in this study, but significant gaps were observed in postoperative pain relief by surgical ward nurses during first 24 hours.

Aim: The COVID-19 pandemic has had a profound influence on global society, and the disease's rapid spread has put a strain on the whole health-care system. In the prevention of both primary and secondary infectious illnesses, nursing plays a critical role. The study's goal was to learn about the experiences of nurses in Najran who were caring for Covid-19-affected patients. The research was conducted in the form of a descriptive phenomenology. Methods: The study's participants were purposefully recruited from the target population from the three focus groups that offered direct care to COVID -19 patients, thirty samples were chosen. Data was collected through direct interviews, which included generic questions followed by open-ended questions. The data was analyzed using Collazo's approach for analyzing transcripts. Results: The investigation's conclusions revealed three major themes. Important aspects include the psychological setting, the care cure core context, and the nursing challenges context. The first context emphasized nurses' fear, anxiety, stress, and pressure; the second context emphasized double responsibilities, dealing with infected and non-infected patients, changing the nurse's role, and the patient's psychological reliance; and the third context emphasized a lack of prior knowledge, working in unfamiliar environments, and a shortage of manpower; and the fourth context emphasized a lack of prior knowledge, working in unfamiliar environments, and a shortage of manpower; and the fourth context emphasized. Conclusion: According to the findings of this study, nurses working in Covid -19 units, emergency departments, and intensive care units were assigned to provide treatment for a variety of conditions. Nurses continue to provide outstanding patient care despite these limitations. Nurses working in the Covid -19 units, emergency departments, and intensive care units were assigned to offer treatment with a variety of problems, according to the findings of this study. Despite these challenges, nurses continue to offer excellent patient care.

There is need for the investigation into heavy metals and microbial loads in edible aquatic organisms, to evaluate their safety and compliance with standards approved by international regulatory bodies’ which regulates food and water quality. The heavy metals and total heterotrophic bacterial (THB) concentrations in catfish, surface water bodies and sediments collected from the wetlands of Isoko region of Delta State, Nigeria were determined in accordance to standard approved methods. The laboratory results revealed that the lead, cadmium, zinc and THB concentrations in the fish body parts (gills and muscle) sampled were lower, compared with those obtained from sediments samples. The lead concentration was 1.13 mg/kg and 28.01 mg/kg for the water and sediment samples respectively. Cadmium concentration of 0.19 mg/kg and 1.64 mg/kg was recorded for the water and sediment samples respectively. Then the zinc concentration was 0.39 mg/kg in the water sample and 87.17 mg/kg in the sediment samples. In terms of the fish body parts, the results revealed that the zinc, lead, cadmium and THB concentrations in the fish gills were higher, compared to the values recorded in the fish muscle. It was observed that the cadmium concentration in the fish gills and muscle was higher than the maximum allowable limit of 0.17 mg/kg approved by the FAO; while the lead and zinc concentrations in the fish gills and muscle were lower than the maximum allowable limit of 0.5 mg/kg and 67.1 mg/kg respectively, approved by the FAO for edible fish. Finding from this study will be helpful in taking appropriate measures to prevent bioaccumulation of toxic heavy metals and microbes in aquatic organisms, to levels above the maximum allowable limits approved by FAO or other regulatory bodies.

Anthropometry is the numeric assessment of body segments for specific reasons. The present study is aimed at specifying the nose type and pattern of Ekowe indigenes in Bayelsa State of Nigeria. A total of 300 subjects were recruited for this study with sex difference of 179 males and 121 females. The measured parameters include nasal breadth, nasal height and nasal index. The results showed mean values of nasal breadth as 4.87±0.42 and 4.62±0.42 for males and females. Nasal height values are 4.43±0.37 and 4.13±0.40 for male and female. Nasal index for males and females are 110.64±12.52 and 112.89±14.43. Sexual dimorphism exits amongst the measured parameters and there was statistical significant difference for nasal breadth and height (p<0.05). With reference to nose classification by Martin and Sallar, 1957; the males and females of Ekowe indigenes possess platyrrhine (broad and short) nose shape.

Introduction: Craniofacial anthropometric parameters are believed to specify sex, age and racial existence of an unknown person. Aim: The aim of this study is to assess and identify the head shape of Ekowe people and to ascertain whether there is sexual difference. Materials and Methods: Cranial measurements such as biparietal diameter and occipiofrontal diameter were carried out on 300 subjects, comprising of 179 males and 121 females of Ekowe indigenes and were between the age range of 18 years and above. In addition, cephalic index was calculated from these parameters. Results: The resultant mean values of biparietal diameter B(head breadth) was 16.50±1.82 and 16.23±1.73 for males and females. Mean values of occipitofrontal diameter (head length) for males and females were 28.03±1.35 and 27.58±1.04. Cephalic index was 59.07±7.17 and 58.98±6.91 for males and females. Sexual dimorphism was observed in occipitofrontal diameter and the difference was statistically significant (p<0.05). The percentage of head shape analysis indicates that only 0.3% each for the males and females sampled population were mesocephalic in shape (moderate or medium head shaped). None was brachycephalic for both males and females. About 59.3 % of the male sample and 40% of the female sample were dolichocephalic in shape (long head). Conclusion: We conclude that the Ekowe people are long headeds. The findings from this study have shown to be very useful in forensic medicine, genetics and craniofacial surgery.

Law Number 11 of 2020 concerning Job Creation establishes a special agency that manages land, namely the land bank agency, which functions to carry out the planning, acquisition, procurement, management, utilization, and distribution of land. The establishment of a land bank in Indonesia has been realized with the issuance of Government Regulation Number 64 of 2021 concerning the Land Bank Agency. Based on this regulation, the Land Bank Agency has a function to distribute land assets owned to realize the economy. With the existence of a land bank, existing interests lead to the community or only the interests of the government to expand assets, especially for equitable distribution of national development. Both internal and external supervision are expected to minimize the behavior of land liberalization, especially the issue of licensing and land use in the context of development which is expected to increase efficiency and strategic utilization in accordance with its designation. The land bank supervision mechanism in the Job Creation Law will provide preventive measures in minimizing the authority over the land bank that will be misused. The distribution of land assets is carried out by the Land Bank based on the activity plan, criteria regarding the land object to be distributed and priority ranking. This is to ensure the accuracy of the target for guaranteeing the provision of land. The distribution for the provision of land for various development purposes must be based on consideration of the interests of the community and regional development.

Background: Coronary artery disease is a progressively worsening condition that may present as stable angina or Acute coronary syndrome (Unstable angina/Non-STEMI or STEMI) when restriction of blood flow to the myocardium occurs. The present study is undertaken to determine the time taken in conversion of stable angina to acute coronary syndrome and to compare the incidence of ACS in male and female populations. Objective: To study the time taken in conversion of stable angina to Acute coronary syndrome in patients with coronary artery disease and to compare the incidence of ACS in the male and female population. Material and Methods: The present cross-sectional study was conducted at the cardiac ward and follow-up in the out-patient unit, Andhra Medical College, Visakhapatnam. 50 participants, male and female, admitted with ACS were taken for study after obtaining written informed consent by purposive sampling. Data is analyzed using SPSS 20.0. The statistical test used is the student’s t-test. Results: Out of the total population under study, 54% presented for the first time to the cardiologist with ACS only, 36% patients developed ACS from stable angina within a time interval of (0-6months) and 10% of patients developed it in the time duration of (>6months). While the incidence of STEMI is significantly higher in females than males (p=0.035), the incidence of non-STEMI is significantly higher in males than females (p=0.035). Conclusion: The present study indicates that the majority of the patients present with ACS as a diagnosis at their first visit to a cardiologist whereas stable angina gets converted to ACS in 6 months in most of the untreated patients. We recommend further detailed multicenter study in this area with a higher sample size to confirm the results and use them for benefit of society.

The study investigated service quality and customer satisfaction in resorts hotels. The primary objective of the study is to examine the relationship between service quality and customer satisfaction in resort hotels in the south-east, Nigeria. In line with the purposes of the study, three hypotheses were formulated to guide the study. A quasi-experimental research design was adopted. The sample size comprised of three hundred and eighty-four (384) adult guests who visited the selected resort hotels in the South-East Region of Nigeria. A structured questionnaire based on a five-point Likert scale was used for data collection. Percentages and frequency were used in analyzing demographic information of the respondents, while means and standard deviation were for responses to questionnaire items. Spearman Rank Order Correlation was used to test the formulated hypotheses at 0.05 level of significance. The findings revealed that a significant relationship exists between tangibility, reliability, responsiveness dimensions of service quality and customer satisfaction in resort hotels in South-East, Nigeria. The study concludes that when the quality of service is improved in resort hotels, it enhances customer satisfaction. Also, the level of awareness towards the importance and benefits of service quality will put managers of resort hotels to be up and doing to increase customer satisfaction, retention and loyalty. The study, therefore, recommends amongst others that; hotels should always make the first experience of any customer exciting and unforgettable to make the customer wanting to return; Management of hotels should hire enthusiastic employees who would like to deal with the customer nicely and try to solve customer complaints and other issues in an effective manner. This will build the confidence of the customer about the hotel, hence, opening opportunities for more patronage.