Nasal obstruction (NO) is defined as a single or bilateral nasal breathing disorder, recent or old, permanent or intermittent. It is a frequent problem in pediatrics and underestimated because of the absence of complaint in young children or unknown when the complaint is unilateral [1]. Although the majority of causes of ON belong to the infectious pathology, one must know to think of a syndrome malformative or tumoral [2]. The ON can cause significant troubles both locally and generally [1]. It is necessary to objectify the cause quickly especially in the newborn because of the vital consequences that this obstruction can cause [1].

The study was conducted in five major Binasoybean-2 growing areas of Bangladesh, namely Noakhali, Laxmipur, Chandpur, Barisal, Comilla. The major shares of total cost were human labour, power tiller, fertilizer and irrigation. The average total cost of production in field level of Binasoybean-2 is Tk. 31382.71. The net returns were Tk. 39738.40, Tk. 32353.80, Tk. 31467.89, Tk. 30499.63 and Tk. 20688.88 ha-1 followed by Chandpur, Laxmipur, Noakhali, Barishal, Comilla, respectively. The highest net return (Tk. 39738.40 ha-1) was found at Chandpur district and the lowest net return (Tk. 20688.88 ha-1) comes from Comilla district for Binasoybean-2. The undiscounted benefit cost ratio over full cost basis were 2.29, 2.02, 2.01, 1.98 and 1.65 for Binasoybean-2 in field level for Chandpur, Noakhali, Laxmipur, Barishal and Comilla, respectively. The highest Benefit Cost Ratio (BCR) is 2.29 in Chandpur district and the lowest BCR is 1.65 in Comilla district. The highest yield gap between research station and field level was in Comilla (397.50 kg ha-1) and lowest in Chandpur (83.50 kg ha-1). The yield gap between research station and farm level in percentage were 18.30, 8.49, 11.48, 40.43 and 21.30 for Binasoybean-2 in Noakhali, Chandpur, Laxmipur, Comilla and Barishal, respectively. Binasoybean-2 growers faced various constraints to Binasoybean-2 cultivation like, disease and pest infestation, non-availability of quality seed and fertilizer at proper time, lack of soil moisture during sowing time, lack of credit facilities etc. Binasoybean-2 production in the study areas is profitable. Binasoybean-2 farmers received higher return on their investment

Youth often face difficulties in accessing sexual and reproductive health services. The main aim this study was to determine the utilization of youth friendly reproductive health services among secondary school going youths of Fort portal Municipality and ascertain factors that influence use of these services. A cross sectional descriptive study was conducted on 250 secondary school youths in Fortportal Municipality. Sample size was determined by using Kish Leslie’s formula. Clustered sampling method was used to choose two (2) schools from each division of Fort portal Municipality; then respondents selected by consecutive sampling method. Data was analyzed using SPSS V.22. About half (53.2%) of the respondents were females and most of the study respondents (85.6%) were adolescents. Almost a third of the respondents (39.2%) were sexually active with 67.3 percent of them having unprotected sex. The study revealed that more than three quarters (79.2%) of the youths were poor users of youth friendly reproductive health services with sex education as the most utilized service (88.4%) and the least being use of contraceptives (20.3%). Age and availability of the services were the main determinants of utilization of these services. Adolescents utilized Youth friendly reproductive health services more than fellow older youths (P; 0.023 and P; 0.033 respectively). Availability of some Youth friendly reproductive health services in schools and health facilities influenced their utilization (P; 0.001 and P;0.013 respectively).Youth friendly reproductive health services are under-utilized by secondary school going youths. Youth friendly healthcare clinics should be operational in all schools and health facilities.

This study aims to analyze the influence of emotional intelligence, rewards and job satisfaction on organizational commitment both partially and simultaneously. The design of this study is quantitative using the survey method. The population of this study is life insurance agents who work for insurance companies that control the market share in the JABODETABEK region. The sample size in this study was determined through a minimum sample size formula for the iterative measure of correlation coefficients, in order to obtain a sample of 200 life insurance agents. This study uses multiple linear regression analysis techniques. SPSS 22.00 analysis tool. The results of this study are that emotional intelligence, rewards and job satisfaction have a positive and significant effect on organizational commitment both partially and simultaneously. There are still other factors that influence organizational commitment apart from three variables of emotional intelligence, rewards and job satisfaction

This paper aimed at carrying out a failure analysis on a typical gas pipeline in Niger Delta, Nigeria. The research analyzes the causes of failure of an existing pipeline which conveys 35MSCF/D of natural gas from the processing plant of marginal oil and gas field to a power generating station, 14km away. Non Destructive Testing (NDT) procedure, specifically, Ultrasonic Testing method was used to carry out the failure analysis on the pipe specimen. The pipeline thickness gauging alongside the flaw detention procedures carried out showed that the pipeline failed integrity test, therefore unfit for its intended purpose. The overall result shows that the major causes of the pipe failure are metallurgical/weld defect as well as corrosion along the welded line. The parameters obtained were used to compute the failure model for the pipeline.

Fulminant myocarditis (FM) is a life-threatening disease with a rapid, progressive course of deterioration. The prognosis is favorable with appropriate management in the initial vulnerable stages. Here we report the first occurrence of FM in a healthy primigravid woman. We report the case of a previously healthy 30-year-old woman with FM in whom cardiac function normalized within 4 days with aggressive pharmacological support using positive inotropic drugs, intravenous steroids, high-dose immunoglobulin, and intravenous antibiotics. FM remains a challenging disease for diagnosis and treatment in clinical practice. This case serves to emphasize the importance of FM and its management. Myocardial failure due to FM can be reversible if treated early

Humor, as a universal language phenomenon, is an important part in people‟s daily life, which can improve human relations, bring pleasant feeling to people. A sitcom, short form for a situation comedy, consists of a large quantity of humors, and is one of the best carrier forms of humor. Friends is one of the most successful American sitcoms. Love Apartment also enjoys great popularity in China. Under the theoretical framework of speech act theory, this paper analyses the similarities and difference of humorous speech acts in these two famous sitcoms and explores the reasons behind the difference and aims to help the audience have a better interpretation of the sitcoms.

The purpose of this study is to investigate and analyze the significant promotion mix factors that have an effect on the outstanding lending decision and formulate a suitable strategy for Indonesia Exim bank. The type of research used is correlational research and if based on data type is quantitative research. The population of this research is the debtors from Indonesia Exim bank in the Medan region from 2012 to 2016, totaling 30 companies. Data analysis in this research uses multiple linear regression model. In the process of data processing, the authors are assisted using the Statistical Product and Service Solution (SPSS) data processing application. The results have found that advertising, personal sales, public relations, and direct sales simultaneously have an influence on lending decisions. Partially, advertising and public relations have a significant influence on loan decisions, while personal sales and direct sales have no significant effect on lending decisions

The church’s growth rate is simply not keeping pace with world’s burgeoning population, especially in East and West Sub-counties of Nakuru County. An honest evaluation of church membership verses the population of the area will lead one to conclude that unless there is a dramatic change in the way the church is growing, then the church will not complete Heaven’s assignment. This study examined levels of role and responsibility coordination among pastors and church elders in the SDA church. The researcher employed descriptive research designs with both qualitative and quantitative research methods. The results indicated that believers indeed had spiritual challenges that hindered the church to grow. It was found out that with commitment and education in the word of God members have the potential to reach the masses with the word of God. The researcher conducted a survey to determine the challenges facing spiritual growth and development in this locality. This was to help discover the challenges and strategize on ways that the church can use to grow. It was meant also to help the church leadership address those issues that will make the church stagnant without fulfilling its mission. The study concluded that nomination process was not transparent since some posts were reserved for specific persons; it was found that such exercise was influenced negatively by the leadership. The findings also ascertained that church elders and pastors imposed persons of their choice in specific posts and influencing the election process. The leaders of the churches in this locality will need to work together with the laity in addressing the spiritual challenges. When they work together results will be a spiritual people and a church ready to fulfill God’s mission. The spiritual leaders need to take a front lead.

Lung cancer is most common malignancy and is the first cause of death in Iraq. To assess the progression free survival (PFS), and to describe the role of maintaining pemetrexed drug. Retrospective study conducted in Oncology Teaching Hospital /Medical city complex. The period from January 2014 to June 2017. A total of forty seven patients with non-small cell lung cancer, treated by chemotherapy enrolled. Patients assessed for age, gender, histopathological subtypes, first line chemotherapy protocol and progression free survival. The progression free survival was 18.6 months with (95% Confidence Interval (CI)). The progression free survival for adenocarcinoma and squamous cell carcinoma were 19.6, 9.8(months). The maintenance pemetrexed showed a better Progression free survival than other patients. Patients with adenocarcinoma histology have better Progression free survival than other subtypes

The purpose of this study was to investigate the relationship between transactional analysis strategies and workplace harmony of hospitability organizations in Port Harcourt, Rivers State. Cross sectional survey design was used for this study. High levels of casualization of staff strength were found in these organizations under study, hence the study focus only on the managers of selected standard hospitality organizations in Rivers State. Sample size of ninety (90) managers was sampled using census survey design. The hypotheses of the study was tested and analysed using Statistical Package for Social Science (SPSS), findings revealed that, the dimension of the predictor variable transactional analysis strategies; personality component, Ego states, Trust and Communication have a significant relationship between the measure of the criterion variable workplace harmony; grievances frequency and collaboration. The Moderating factors of motivation and leadership moderate the relationship between transactional analysis strategies and workplace harmony of hospitality organization in Rivers State. Therefore, we recommended that thoughtfulness and adherence should be geared towards implementing the dimension listed and discussed in this study as it enhances workplace harmony.

Unexplained infertility refers to the absence of a definable cause for infertility despite a thorough evaluation. Subtle abnormalities like mild endometriosis, minor tubal dysfunction as evidenced by presence of peritubal adhesions or partial fimbrial phimosis, endometrial defects, may be unearthed by thorough investigations in these couples labelled with unexplained infertility. Primary objective of the study was to determine if IVF outcomes in unexplained infertility are different from other cause of infertility like male or tubal factor infertility. Secondary objectives were to find out what intrinsic or extrinsic factors in unexplained infertility influence IVF results. Based upon these factors, to help in prognosticating couples with unexplained infertility before they enter IVF. The study was explained to all eligible couples undergoing IVF at centre. They were offered participation in study and given a patient information sheet to understand the study. Those who accepted to take part in the study were enrolled in study. After applying inclusion and exclusion criteria, three cohorts of unexplained, male and tubal are formed according to their indication of IVF cycle. Age of female partner was the only variable which showed statistically difference. Mean age of female partner of unexplained group was 34.12 ± 3.69 years, and of tubal & male group it was 33.00 ± 4.2years 3, 32.13 ± 3.69 years respectively (p value 0.047 < 0.05). Laparoscopy and hysteroscopy offered not only to establish the diagnosis but also helping couple knowing their chances of successful pregnancy in IVF

Sometimes writing impressively gratifies the writer, while writing expressively not only satisfies, but also benefits the reader. If so, writers who write to impress themselves had better keep their written work for their personal reading. How writers use language is critical, because it determines how meanings of their ideas are received, interpreted and acted upon (herein referred to as language ergonomics). This paper reviews literature from English language authorities on well—writing to express. It is about using a short, specific, concrete, common, and positive word; about using a strong verb and the active voice; about using a word that means what it is supposed to mean. That is all about effective writing as defined by eight Cs: Concise, saying what needs to be said using only the necessary words; Choice, using suitable words; Compelling, saying it in a way that makes the listener or reader pay attention; Compliant, obeying relevant language rules. It is also defined as Consistent, avoiding contradictions, i.e. being in agreement with what the experts say; Clear, using a simple and direct way so that listeners or readers understand it easily; Coherent, saying it in a logical and organised way; Concrete, trying to be as definite and as specific as possible. The researcher discovers through analysis that great writers use both adverbs and adjectives sparingly to avoid wastage. While adjectives overwhelm nouns, adverbs weaken verbs. Wordsmiths prefer strong verbs to modifiers, opt for concrete words as opposed to abstract ones, go in for a variety of sentences rather than only long-winded ones, and choose the active voice other than passive. If writers chose to follow these simple rules, communication objectives could be achieved.

The results of the survey showed that consumers generally know (53.3%) what genetically modified organisms (GMOs) are, but they do not have enough information about the genetic modification process. The main concerns of consumers about GMO foods are their carcinogenic effects to human. The usage of GMOs in health sector and in preventing environmental pollution were the most approved areas by the consumers, whereas the majority of consumers disapproved the use of genetic modifications in food applications. This study shows that knowledge, perceived risks, attitude, labeling have a significant relationship with willingness to purchase GMO food products based on the survey conducted in Klang Valley, Malaysia. The study showed importance of willingness to purchase GMO food products to determine the success of the business with human needs. So, this study will help the GMO food products entrepreneur to plan and run their business accordingly to achieve success. In addition to that, the survey data will be helpful to the GMO authority, to understand the behavior intention of the consumers of Malaysia, which will help them for further research as well as to take adequate measures for the better managerial implications of the GMO food products company in Malaysia

Money laundering crime has become an essential link in crime. The perpetrators of crime hide the results of corruption in the financial system or various other forms of endeavor. The act of concealing the proceeds of crime or the funds obtained from the offense is intended to obscure the origin of the property. Various reasons to combat money laundering which could adversely impact the economy, either macro and micro, because it is corrosive to the economic fundamentals. At the macro level, either directly or indirectly, money laundering can disrupt various financial systems, social systems, and the political system of a country. All countries agreed that money laundering is a crime that should have confronted and eradicated. Therefore, it takes the role of various parties to introduce, prevent and eradicate money laundering. One of the branches of economics is the Development Economy, which basically questioned how the implementation of development, so that people get a better life through the fulfillment of their needs. That way can go well if any of the rules are agreed upon. Then the picture concludes that the law and the economy are mutually supportive. The law or regulation guarantees the needs of the community and the interaction of the good. The required Economic Law is a law capable of creating a climate and atmosphere that allows the government and the community to work together. In short, the Economic Law in question is the Economic Law that is able to establish cooperation between the government and all components of society