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.

Education: COVID-19 is a different infection distressing and killing a massive amount of people across the globe every single day. Solitary, to expand health care for these patients is to identify their necessities. Nurses, as an enormous population of health care staff, can be opulent foundations of evidence and involvement on patients’ care essentials. Aim: The purpose of this hypothesis was to discover nurses’ observation about the carefulness requirements of patients with corona virus disease. Methods: Current qualitative examination was implemented using the conservative relaxed investigation method in kingdom of Saudi Arabia from April to June 2020. The applicants of this hypothesis comprised the nurses concerned intended for patients with COVID-19, enrolled by the persistence sampling mode. The data was collected through 100 telephone discussions and examined built on the process suggested by Lundman and Graneheim. Results: Qualitative statistics examination showed six main categories comprising requirement for emotional referring, need for excellence development of facilities, need for progression of statistics, need for enlightening of community provision, requirement for nonphysical care and need for shared well-being. Conclusion: Statistics indicated that patients with COVID-19 were sensitively, bodily, informally, carefully, and mentally pretentious by the infection. Consequently, they should be systematically maintained by health care supervise and additional compassionate classifications.

There is a lack of research regarding the life stressors which male high school and collegiate cross country runners encounter. The Collegiate Student Athlete Life Stress Scale (CSALSS) assess eight life stressor subscales consisting of: performance demands, coach relationships, training adaptations, family relationships, romantic relationships, academic requirements, intrapersonal relationships, and sports injuries. Having an understanding of how these life stressors impact male high school and collegiate cross country runners may provide athletes, parents, and coaches with insight regarding the nature of how these athletes perceive their current life challenges. Purpose: The current study attempted to measure the life stressors which male high school and collegiate cross country runners encounter as assessed by the CSALSS and to determine if differences in the CSALSS subscales exist between the high school and collegiate athletes. It was hypothesized that college cross country runners would have significantly higher scores in the subscales of sports injury, performance demand, coach relationships, and training adaptations. Additionally, it was hypothesized that college student cross country runners' scores on the subscales of academic requirements, intrapersonal relationships, romantic relationships, and family relationships would be similar to high school cross country runners. Methods: Male high school (n=14) and college cross country runners (n=14) completed the CSALSS questionnaire. Independent t-tests were used to compare CSALSS subscales between the high school and collegiate runners (α≤0.05). Results: No differences were found between the high school and collegiate athletes for any of the CSALSS subscales (p< 0.05). The high school and collegiate cross country runners found the subscales concerning sports injuries and academic requirements to be most stressful respectively. Coaching relationships, training adaptations, and interpersonal relationships were the least stressful subscales for these athletes. Conclusion: Within the parameters of this study, male high school and collegiate cross country runners report similar life stressors.

Background: BAL specimens are widely used for diagnosing respiratory pathologies like chronic diseases, lung carcinomas, pneumonias, etc. Infections cause exacerbations. Study of bacterial profile, antibacterial sensitivity patterns of samples guides in timely & appropriate use of antibiotics, preventing emergence of antibiotic resistance. Aim: This study was done to isolate causative bacteria from BAL specimens to know their antibacterial sensitivity pattern. Settings and Design: A hospital-based prospective study was done on 118 BAL samples received in Microbiology laboratory from May 2019-July 2021 from wards for patients with respiratory pathologies. Material and Methods: Samples collected using proper aseptic precautions & sent, within 2 hours of collection were processed using standard procedures for bacterial isolation and species identification and antibiotic sensitivity testing done & reports made as per latest CLSI guidelines. Result: 15.25% samples showed growth. Klebsiella (65.21%), Pseudomonas (30.43%) and Acinetobacter (4.34%) were isolated. Klebsiella species isolated showed 95%, 97% and 98% sensitivity respectively to Cephalosporins, quinolones, aminoglycosides & 100% sensitivity towards higher antibiotics like Carbapenems, Piperacillin/Tazobactam, Tetracycline. An Extended spectrum ß lactamase producing Klebsiella species was isolated. Pseudomonas aeruginosa showed 80%, 85%, 90% and 95% respectively sensitivity to Ceftazidime; Gentamicin, Tobramycin; Amikacin, & 100% to Polymyxins. An isolate of Acinetobacter lwoffii was obtained. It was resistant to Ceftazidime. Conclusion: Knowledge of bacteriological and antibacterial profile of BAL samples helps in judicious use of antibiotics, preventing resistance & also in making local antibiogram to guide empirical therapy.

Since colonial days when Cameroonians in particular and Africans in general came in contact with the use of pen and paper for communication, the effect of first contact captured the psychology of the natives who to this day see the alphabets of western languages (English and French) as sacred or God given for the writing of all languages. This misconception partly explains the initial opposition and rejection of the introduction of new symbols for the proper writing of native Cameroonian languages. The development and introduction of the General Alphabet of Cameroonian Languages has faced common questions like: Why not simply use the English alphabet to write our local languages as a global and unifying system? Why introduce new unnecessary symbols or letters which are strange or unfamiliar and difficult to write, read or understand? It is in the light of this research problem that we use the Ngwo language to examine the place, role, importance and necessity of the General Alphabet of Cameroonian languages to clear doubts about the question of whether it is redundant or appropriate.

The purpose of the study was to examine whether higher levels of adolescents’ perceptions of intimidating behavior and negative conditional regard by the PE teacher, thwarting of the psychological needs for autonomy, competence, and relatedness, fear of failure, contingent self-worth, and challenge avoidance are linked to the presence of developmental coordination disorder (DCD) in physical education. Motor proficiency was evaluated using the Movement Assessment Battery for Children (2nd ed.) in a sample of 336 adolescents. Students’ perceptions on motivational constructs were measured via self-report questionnaires and compared between adolescents with DCD and typically developing peers. Independent of gender, presence of DCD was linked to significantly higher levels of the above negative motivational constructs. Independent of DCD, boys reported significantly higher levels on all negative motivational constructs than girls except contingent self-worth. Among adolescents with DCD, boys reported greater autonomy and competence thwarting compared to girls. Within boys, those with DCD reported greater levels of intimidation, autonomy thwarting, competence thwarting, and fear of failure compared to typical boys. No differences emerged between girls with and without DCD. Adolescents with DCD seem to report higher levels of negative motivational experiences in school physical education compared to their typically developing peers. The present study extends the evidence base of psychosocial variables of a motivational nature in physical activity linked to the presence of DCD.