The study aims to analyze the application of learning organizations that are good to be implemented in government agencies. The specific goal or target for this research is to obtain comprehensive data related to the effectiveness of the Regional Government, especially in the Gorontalo Regency Regional Secretariat by using a learning organization perspective. The type of research used is a qualitativequantitative method (Mix Method). The existence of this research can provide clear information about the effectiveness of the Gorontalo Regional Government in the learning organization perspective. The results of this study showed an average score with a high interpretation of all components of learning organization. In addition, the findings of this study indicate that there is synergy between sections which is characterized by good communication and coordination between parts, the formation of the team is situational but still legally written that can facilitate the work of coordinating with each group member in addition to that there is a process of dialogue that takes place formally and informally at each structural level that supports the organizational work climate. However, there are also a number of weaknesses that can be improved to further optimize the organization of government work in the learning organization perspective, namely the lack of individual understanding of the vision and mission needs to be optimized so that organizational performance increases.

The 17-4PH stainless steel (17-4PH SS) parts were fabricated by using a metal injection moulding (MIM) route that utilizes three binder systems comprising of palm stearin (PS), thermoplastic natural rubber (TPNR), polyethylene (PE), paraffin wax (PW) and stearic acid (SA). The 17-4PH SS powder was mixed with binders at powder loading of 65% vol by using a z-blade mixer for 2 hours at a temperature of 180°C to produce a homogeneous feedstock. The feedstock completely filled the mold cavity at a temperature of 180°C and pressure of 400 bars. A two-stage debinding process (solvent and thermal) was performed to remove binders in green parts. Debound parts were sintered at temperature ranging from 1300°C to 1380°C for 2 hours. The microstructures, physical and mechanical properties of the sintered parts were evaluated in order to determine the feasibility of binder. Among the three binder systems considered herein, PW/PE/SA appeared to produce optimum sintered properties while PS/TPNR produced the lowest. Experimental results have also demonstrated that comparable sintered properties could be obtained from the PS/PE at higher sintering temperature. In summary, this work has indicated that bio-composite binder systems, PS/TPNR and PS/PE could be considered as a promising binder in MIM of 17-4PH SS.

The important role of malnutrition in child death is that most nutritional deficiencies, including vitamin A and Zinc, impair immune function and other host defenses leading to a cycle of longer lasting and more severe infection and even worsening nutritional status. Thus inadequate intake, infection and poor nutritional status are intimately linked. Aim is to study the contact of TB and measles in malnourished children. Information was collected from interview with the parents and examination of under five years children was entered in a predesigned and pretested proforma of the study. History of contact of tuberculosis was present in 9.2% children. While measles in malnourished children is 31.1%, which has significance, precipitate of severe grade of malnutrition as compared to no history of measles

Islam is a comprehensive system of life. It was built upon fire pillars viz. monotheism, Salat, zakat, fasting and pilgrimage. Zakat as one of these five pillars of Islam has a special consideration through which if a Muslim (to whom it was prescribed) fails to establish becomes incomplete Muslim. It is obligatory upon those who are wealthy to take out some specific portion of their wealth to those who are poor. This system has many advantages among various Muslim communities. It will instill the attitude of love, intimacy and affection between a rich and a poor, and more importantly, zakat often help towards the alleviation of poverty in the society. For this, Islam put the responsibility of collecting the zakat on a government from the wealthy people and to distribute it to those who are needy. As such many Muslim states in Nigeria today have established Zakat and Endowment Institutions / Organizations to carry out this task. Sokoto state is one of these states where zakat Committee was upgraded to Zakat Commission in December 2016. The activities of the Commission contributed immensely towards the alleviation of poverty in the state. Thus, this paper aims to examine to what extent the Sokoto State Zakat Commission contributed in the eradication of poverty in Nigeria and Sokoto state in particular.

Chronic kidney disease (CKD) patients have higher HOMA-IR index compared to otherwise healthy metabolic syndrome controls. The aim of this work was to compare the biochemical profile, symptoms and signs of Metabolic Syndrome (MS), between chronic kidney disease patients and non-chronic kidney disease metabolic syndrome subjects, using the World Health Organization criteria. it is a case-control study. Among the CKD patients, 20 patients fulfilling the criteria for metabolic syndrome were included in the study and compared with the age, sex matched otherwise healthy metabolic syndrome subjects. Individuals aged >18 yrs and above were included in the study. Fasting glucose, anthropometric measurements, lipid estimations, and biochemical parameters were done in all the participants, who fulfilled the WHO criteria of metabolic syndrome. All the cases belonged to stages 3 & 4 of CKD. Presence of symptoms among cases were due to their CKD condition, waist hip ratio (W/H) ratio is significantly higher in cases than controls (P<0.05). Both systolic as well as diastolic blood pressure is higher in cases (M 142±19.6, F141 ± 11.3).There was significant difference in the HDL and LDL level among cases and controls HDL level being higher in females among cases(F 46.5±8.31) , whereas LDL level was higher in females among controls (F111.3±55.9). Fasting insulin level was significantly lower among cases in both females and males (Case; M 42.6±8.3, F32.04+14.4; Controls; M56.5±6.6, F 57.5±9.4) similarly HOMA-IR values were significantly lower in cases than controls (Case M7.9±0.86, F7.4±3.7, Controls M13.4±3.5 F12.1±3.4).None of the comparative studies, between CKD and otherwise healthy metabolic syndrome cases have reported higher HOMA-IR levels in controls than CKD patients. HSCrp level was higher in cases than controls (case M 9.3±9.6 F5.9±7.2; Controls M2.5±3.2, F1.9±2.4). Sodium and Potassium levels were significantly higher in cases than controls. Calcium levels were higher in controls than cases, alkaline phosphatase is significantly higher in cases than controls. Though both the cases and controls, are insulin resistant, there is significant difference between HOMA –IR index among cases and controls, HOMA-IR value is higher among controls than CKD patients.

The Arabian Gulf countries have witnessed a progressive improvement in the healthcare sector. The infrastructural improvement and the increase in budgetary allocation have led to increase flow of expatriate nurses to the region, but there is no any case study based on the job satisfaction for nurses from the region as whole. The purpose of this study is to assess the job satisfaction level for nurses working in the Arabian Gulf countries. This was a systematic review of literature using articles searcher form PubMed, Science Direct and Google Scholar databases. The articles selected had to be published in English between years 2010 to 2018. Data was extracted and analysed thematically then presented in form of charts, tables, and narrative. The search resulted in 197 articles (PubMed: n = 59, Science Direct: n = 66, and Google Scholar: n = 72) of which eight articles all published in English and after 2012 were approved for systematic review. Major findings indicated the job satisfaction among nurses in Arabian Gulf was moderate with expatriate being slight satisfied than the locals. The factors influencing job satisfaction can be categorised into personal factors, organisational related factors, and work environment related factors. Nurses in the Arabian Gulf region are not fully satisfied with their jobs. It is imperative that the Government and other healthcare sector stakeholders discuss a manner for motivating both the local nurses and the level of job satisfaction.

Abstract: Bladder exstrophy is an anterior midline defect. Women with bladder extrophy are fertile and able to have children without this disease. However, Patients undertaking pregnancy after surgical repair of such an anomaly are rare. Pregnancy is often complicated. We report in this work the case of a 24-year-old pregnant patient, operated at birth for bladder extrophy, presenting at 28 weeks of amenorrhea for premature rupture of membranes with uterine prolapse.

The Xi Jinping's new era has new value requirements. The "Standardization Law" born in 1988 must be adapted to a new era. The value enhancement of the "Standardization Law" is based on value enhancement of the standard. The "Standardization Law" aims to increase its own value by confirming the value enhancement of the standard. The value enhancement of the standard is mainly reflected by self-systematic, voluntary and application. The value enhancement of the new "Standardization Law" is mainly manifested in better satisfying people's demand for various products and services, the need for various security, and the need to participate in public affairs.

The purpose of this study was to determine the effect of brand image variables, relatioship marketing and product quality on customer satisfaction and loyalty. This type of research is descriptive research. This study used a sample of 200 respondents. The analytical method used is path analysis with SPSS 20. The results of data analysis show that brand image and relationship marketing have a significant influence on customer satisfaction and loyalty, while for product quality has no influence both of customer satisfaction and loyalty. The results of the joint test of brand image, relationship marketing and product quality variables simultaneously have a significant effect on satisfaction and loyalty. Customer satisfaction has an influence with customer loyalty.

Although it has been composed of 5 (five) new autonomous regions, but to build the Nias Islands must be done integratively because it is in one region and supported by the similarity of identity, that is a unity as Nias ethnicity. But the fact is showing that the bureaucracy elites are difficult to cooperate, trying to build their own identity based on their territory. The focus of this research is to find out why bureacucracy elites are doing contestation after the teritorial split, what local identities are used and how local identities are used. To explain the phenomenon as the locus of this research, the theoretical concept politics of identity from Giddens were using to explore why the local elite was using politic of identity to control local resources, what interests are behind them all? Under such identity conditions, bureaucracy elites construct an identity for the interests of the elite and put more emphasis on the power aspect to gain political and economic resources. Methodologically, this research is a qualitative research with descriptive approach, so the description of the phenomena seen in Nias Island can be interpreted and better understood. The results of this study showing that, the hidden agenda of the contestation among the bureaucracy elite in the Nias Islands basically is to set up a new power in the new territory. Local identity that is carried out is the result of reconstruction of the elite as as flexible identity of the ethnic community of Nias.

Abstract: The aim of this investigation is to characterize the Phyllanthus muellerianus plant dye used as a colour source in painting walls and craft works for ages in Oghe, Ezeagu Local Government Area of Enugu State. Spectroscopic (UV-Vis, FT-IR and 1H NMR) techniques were employed to characterize P. muellerianus dye. UV-Vis absorption spectrum shows peaks at 313 nm and 482 nm being attributes of anthocyanine. According to FT-IR and 1H NMR investigations the tested sample have cyaniding glycoside and peonidin glycoside.

The establishment of State Owned Enterprises Holding in Indonesia is one way to increase profits, but the regulatory framework for companies belonging to group companies in Indonesia still uses a single corporate approach. As a result, the company’s law only regulates the relationship between the parent company and subsidiary as the special relationship between two independent legal entities in a Group Company construction. Based on the topic, the writer is interested in writing how is the legal responsibility of the parent company to its subsidiary in the Stated-Owned Holding Companies. This research is conducted using normative legal research. Types of data used in this research are secondary data with primary and secondary legal material. Based on the research, it can be concluded that the responsibility of the parent company to its subsidiary in Stated-Owned Holding Company can be divided into some responsibilities, they are; responsibility through voice rights agreement due to privilege shares ownership, responsibility through material contract, responsibility as debt warrantor for subsidiary, and whole of responsibilities due to subsidiary management. The quality of education and research can increase profits in the business world.

The possible etiological factors found in the causation of protein energy malnutrition among young children are non feeding of colostrums, lack of exclusive breast feeding in first six month of life, late introduction of semi solid and solid foods, dilution of top milk accompanied by faulty complementary feeding practices by mother and exacerbated by ignorance in the family and the community of the basic dietary needs of the child, particularly during complementary feeding phase. It has been found that, nutrition education can positively effect changes in the attitudes and practices of mothers and is an extremely valuable tool in alleviating the malnutrition, which may occur as a result of improper feeding practices. Aim of the study is to study of infant feeding practices at a tertiary care centre in central India. Information was collected from interview with the parents and examination of under five years children was entered in a predesigned and pretested proforma of the study. In our study top milk was introduced by 20.6% of mothers below the 6 months of age. Majority of them recived top milk between 6-12 months of age (75%). This study revealed that only 21.8% children were receiving undiluted milk. 1/3 received half diluted (43.7%) and remaining was receiving (34.5%) 1/4 dilution. This dilution of milk was responsible for malnutrition in children

Innovation and entrepreneurship is the new engine of national economic development. Non-profit organizations are an important force in promoting the development of innovation and entrepreneurship. Based on the specific practice of Enactus, one of the three largest college student organizations in the world, exploring the path and experience of non-profit organizations participating in the innovation and entrepreneurship of college students in China is conducive to the formation of the pattern of multi-agent participation in the cultivation of innovative entrepreneurial talents, and further promote the effective development of college students' innovation and entrepreneurship education.

This prospective observational study was conducted in the Department of Pediatrics, Amaltas Institute of Medical Sciences, Dewas between March 2016 to August 2017. Patients were classified on the basis of detailed history, clinical examination, ECG record, chest x-ray, Weight-for-Height, age of diagnosis, follow up and other relevant investigations pertaining to the case. The correlation among the clinical examination, ECG & chest x-ray findings were studied. The predictive values of development of complications during the follow-up period by these 3 parameters were observed. Sex distribution, age of diagnosis, clinical examination, ECG, chest x-ray, weight for height, types of VSDs and development of complication on follow up of these patients were analyzed and classified accordingly. The complications of VSD are biventricular hypertrophy, congestive cardiac failure, Pulmonary hypertension, Eisenmenger Syndrome, aortic insufficiency, infective endocarditis& heart block (rare). In our study group 24/56 (42.8%) patients presented with biventricular hypertrophy & all of them were large sized VSDs. Out of25 large sized VSDs, 20 (35.7%) patients had congestive cardiac failure. 35 out of56 had pulmonary hypertension (62.5%), as evident by ECG (P pulmonale in lead II), clinical examination (palpable P2 & loud P2 on auscultation) & chest x-ray (enlarged Pulmonary Artery segment). 1 Patient out of 56 developed Eisenmenger Syndrome (1.7%). 1 Patient out of 56 developed infective endocarditis (1.7%). Prospective Observational Study. A detailed clinical history, clinic-radiological profile and ECG are very helpful in assessing severity and development of complications. Early diagnosis is required to aid the physician in referral of the patient to a specialized center for early surgery. Early diagnosis, proper referral as discussed above & management will help in preventing the associated complications, thereby reducing the mortality and morbidity in these children and improve their quality of life