Student satisfaction is one of the parameters of the success of university services. Student satisfaction will greatly affect their loyalty to the university. Mercu Buana University student satisfaction can be influenced by several factors such as learning methods, lecture support facilities, and the quality of student lecture services. Based on the results of the pre-study, it can be concluded that there are still many Mercu Buana University students who were dissatisfied during their studies at Mercu Buana University. Student dissatisfaction is much influenced by service facilities, lecture methods, and lecture support facilities. Descriptive research can be obtained a description of the problem formulation regarding the satisfaction of students of the Master of Management program at Mercu Buana University campus Kranggan. Hypothesis testing research methods can answer the allegations that exist in the phenomenon of the satisfaction of students of the Master of Management program at Mercu Buana University campus Kranggan. In this study a sample of 100 university management master students from Mercu Buana Kampus Kranggan took samples. In this study, quantitative methods will be used in which to measure an object related to the phenomenon that occurs (Sugiyono, 2012). The data collection in this study was carried out by simple random sampling technique. Which is assisted by a questionnaire? As for the weighting of the Likert scale

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.

Currently there is an obstacle in terms of internet access connectivity that occurs in Indonesia, especially for users of sea transportation. Very often we find a situation where when a passenger of a ship is in the middle of a trip, the connectivity of internet access cannot be used when in the middle of the sea. In fact, with the existence of the Sea Toll Program by the Government of Indonesia which was launched in 2015 which has an impact on the addition of the total ships prepared, the number of passengers is increasing year by year due to the opening of access via these ships to the destination island. By looking at this phenomenon, PT. Telekomunikasi Indonesia together with PT. Pelni Indonesia cooperates as a form of synergy between SOEs. The collaboration is to provide telecommunications networks and internet access in all ferry vessels owned by PT. Pelni Indonesia and use retail sales system for Coconnet product vouchers in retail to all passengers of a ship. n the beginning of 2017, Telkom Group launched a new product called Coconnet (Connectivity Of Internet), a product that is a Prepaid Internet Voucher that can be used to meet the need for communication and internet networks for passengers and crew when they are in the middle of the sea . The presence of these products is a solution for passengers and crew when experiencing difficulties and obstacles in communicating on board because there is no communication network in the middle of the sea. Therefore, to maximize the new product launched by Telkom, namely Coconnet, it is very important for telecommunication companies to have a marketing strategy so that they can predict which telecommunication products can be used and estimate the extent of the success of the Coconnet products that have been issued. With a good strategy supported by the tools used to measure product success, the industry and companies can focus on improving the right factors for products that have been produced so that they can produce the right products to answer customer needs and can continue to maintain success in the Indonesian telecommunications market.

Positive AnticyclicCitrullinatedPeptid Antibody in the antisynthetase syndrome should not lead to systematic diagnosis of association Antisynthetase syndrome-Rheumatoid arthritis. However their positivity is a marker of severity provider of destructive changes in joint damage in the antisynthetase syndrome without any diagnosis of Rheumatoid Arthritis established.

The importance of postsecondary education has increased significantly in the last decade. A high school diploma is no longer sufficient in the 21st century. In order to be successful in today’s global economy a person must receive some form of postsecondary education. The economic stability of the state is tied to citizens who are employed and productive. In a constrained fiscal environment, policymakers also will need to consider whether there are better means of achieving shared goals, including student access and support for research. Such approaches could entail more coordination, other funding mechanisms, or policy reforms. In addition, it will be necessary to think about the implications of parity and whether funding strategies will require changes in order to reach desired outcomes. This paper is intended to provide a starting point for illustrating the various methods of funding higher education for improved performance of institutions.

Invasive Streptococcus anginosus group (SAG) infection is associated with severe infection and poor outcome particularly among malignancy and post-surgical patients. We aimed to study the clinical details and outcomes of invasive SAG infection in post-sleeve surgery and malignancy related and non-malignancy related abdominal infections. (SAG) isolates from invasive infections between January 2015 and February 2018 were collected. Clinical data from the medical records of the infected patients were obtained retrospectively and analyzed. Fourteen invasive infections caused by SAG were identified. The mean age of the patients was 40.9 (minimum; 18 years, maximum; 80 years, SD; 21.03), five females (35.7 %) and nine (64.3 %) males. The peritoneal fluid was the most common specimen (8/15; 53.3%), followed by pleural fluid (3/15; 20%), deep abscesses (2/15; 13.3%), blood (1/15; 6.7%) and ascetic fluid (1/15; 6.7 %). The most predominant specimens (73.3%) were intra-abdominal involving commonly anaerobes and Enterobacteriaceae. Six patients (6/14; 42.9 %), had SAGabdominal or pleural infection as a complication of sleeve surgery. Each four of the remaining eight patients were categorized as patients with abdominal malignancy (4/14; 28.6 %) or non-malignancy related abdominal infections (4/14; 28.6%). Ten of the cases had polymicrobial infection. All patients had eventual recovery except of two malignancy patients who died because of severe sepsis with empyema or abdominal infection. Further studies are required to delineate post-operative sleeve surgery infectious complications and malignancy related abdominal infections to provide early treatment and better outcome.

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 objective of the study was to evaluate the aphrodisiac property of the aqueous extract of Prunusafricana trunk bark in albino and normal male rats of the Wistar strain. Colorimetric and precipitation methods were used to highlight secondary metabolites of the plant. The acute toxicity test was conducted according to OCDE guideline 423. Four lots of 6 animals were used to evaluate the aphrodisiac property of P. africana. The positive control received sildenafil citrate (5 mg/Kg) and the negative control, distilled water. The test lots received the extract at 100 and 200 mg/Kg for 8 days. The copulatory parameters were observed on days 1, 4 and 8. The phytochemical screening revealed the presence of flavonoids, alkaloids, tannins, saponosides and tri terpenes in the extract. No changes in the general appearance of the rats and no mortality were recorded during the toxicity test, highlighting that P. africana is nontoxic. The extract significantly increased the sex parameters of the tested rats. This aphrodisiac effect of P. africana attributed to identify secondary metabolites justifies its use in traditional medicine as a sexual stimulant.

Abstract: Obstetrics patients may require intensive care at any time unpredictably. The most common causes of morbidity and mortality in these patients are anaemia, hemorrhage, hypertension, pre eclampsia, eclampsia, septicemia and their complications. The aim of this study was to evaluate the incidence, occurrence, indications, course of ICU stay, interventions required and the outcome of those obstetric patients admitted in the ICU. It was a hospital based, retrospective study conducted in a tertiary care medical college in Haryana, in North India over a period of 2 years – from January 2015 to January 2017. Out of a total deliveries of 7150, 165 patients required ICU admission and care (2.30 %). Most admissions were in the post partum period – 95(57.57 %), followed by antepartum period – 70 (42.43 %). Most common indications for ICU admission were obstetric hemorrhage – 50 (%), eclampsia -17(%), pre eclampsia- 8 (%), septicemic shock – 23 (%), HELLP syndrome – 16 (%), DIC- 10 (%), cerebral malaria-10 (%), dengue-7 (%), hepatic encephalopathy-5(%). The most common interventions warranted were artificial ventilation-139 (84.24 %), transfusion of blood & blood products-140 (84.84 %), surgical exploratory laparotomy – 35 (21.21 %) and there were 15 maternal deaths (9.09 %).

Non-fermenters (NFs) account for about 15% of all bacterial pathogens isolated from a clinical microbiology laboratory. Primarily regarded as contaminants, they have been implicated in causing various infections. They are innately resistant to many antibiotics and emerging as important nosocomial pathogens. To isolate nonfermenters from Urinary Tract Infections and assess their clinical significance and antimicrobial sensitivity pattern.Five thousand nine hundred and thirty four (5934) nonrepetitive consecutive samples of urine from patients diagnosed of culture-proven UTI of a tertiary-care teaching hospital over a period of four-years (2014-2017) were selected. A urinary sample was subjected to presumptive screening followed by semiquantitative culture on CLED (Himedia, Mumbai) agar. Identification and antibiogram was done by Vitek 2 compact (bioMérieux, France) automated systems. Clinical history and laboratory parameters were utilized for clinical correlation.Out of 5934 samples showing significant growth 6212 (15.6%) bacterial isolates were grown, Non fermenters being in 5.6%. P. aeruginosa (55.17%)and Burkholderia cepacia (17.42%) were predominant NFs.

The purpose of the study was to examine the effect of globalization on the monetary policies in enhancing small and medium enterprises in Nigeria; the specific objectives include to; examine the effect of globalization on the inflation rates in enhancing SMEs and examine the effect of globalization on the exchange rate in enhancing SMEs. The study had a population of 257 employees drawn from among selected manufacturing firms in Enugu State. The sample size of 117 was drawn using Freud and Williams formula at 5 percent error margin. A survey design was adopted for the study. The instrument used for data collection was the questionnaire. A total of 117 copies of the questionnaire were distributed while 112 were returned. Two hypotheses were tested using regression, and with the aid of the Statistical Package for Social Science (SPSS).The findings indicate that Globalization has negative effect on the inflation rates in enhancing small and Medium Enterprises hence negative in its absence t(95, n = 117) =-1.685, p <0.05, enhancing Small and Medium Enterprises is negative in the absence of globalization t(95, n = 117) = -0.813,, p < 0.05. The study concludes that Globalization affects how governments throughout the world create policies affecting areas such as financial regulation and trade. The study recommended that the Nigerian government, as well as the government of other developing economies, must invest substantially to the growth, development, and sustainability of SMEs through the provision of essential infrastructures, human resources, microfinance, security and adequate policy framework.

Ecotoxicity strength of different granular domestic detergents on Enterobacter aerogenes and Pseudomonas fluorescens was evaluated to assess the response of the test organisms to different brands of domestic detergents. Standard toxicity procedures were applied using four brands of granular domestic detergents: Klin, Omo, Bonux and Ariel prepared at concentrations of 10ppm, 100ppm, 1000ppm, 10000ppm and 100000ppm; the test was carried out for 0h, 4h, 8h, 12h, and 24h for each detergent.The degree of resistance of the test organisms to the toxicants revealed Enterobacter aerogenes (4857±1685ppm) was more resistant to the domestic detergents than Pseudomonas fluorescens (117±28ppm). Mean Median lethal concentration (LC50) showed that Klin was most toxic and Bonux was least toxic with toxic flow pattern (noting that the lower the LC50 the more toxic the toxicant) as:Klin (1354ppm) > Omo (2389ppm) > Ariel (2887.47ppm) > Bonux (3316.84ppm).Results of response of individual test organism to the different brands of detergents showed that Pseudomonas fluorescens was most sensitive to Bonux and least sensitive to Ariel - Bonux (94.86ppm) > Klin (104.66ppm) > Omo (109.68ppm) > Ariel (157.40ppm))while Enterobacter aerogenes was most sensitive to Klin and least sensitive to Bonux - Klin (2603.34ppm)> Omo (4668.68ppm) > Ariel (5617.54ppm) > Bonux (6538.82ppm). This showed that test bacteria responded differently to the toxic effect of the domestic detergents in the same aquatic environment. In mixed consortium, domestic detergent Klin had the highest toxic strength (mean LC50 1354ppm); Pseudomonas fluorescens was more sensitive to all the test domestic detergents than Enterobacter aerogenes.

This paper investigated the influence of stock market activities in on the provision of infrastructure in Nigeria. In order to achieve the objectives of the study, data bordering on the activities of the stock market viz all share index, market capitalization and value of transactions and infrastructure development viz; gross fixed capital formation were collected from the CBN statistical bulletin and analysed using multiple regression analyses. The findings of the research showed that; there is a negative but significant relationship between all share index and gross fixed capital formation. There is positive and significant relationship between market capitalization and gross fixed capital formation. Finally, there is a negative non-significant relationship between value of transaction and gross fixed capital formation. Based on the findings, we conclude that the contribution of the Nigeria Stock market in infrastructure development is below expectation. It is therefore recommended that more development oriented securities be introduced into the Nigeria Stock market to help boost investment in infrastructure. More funds from institutional investors should be channeled into investment in long-term government securities to provide funding for infrastructure investments. Finally, we recommend that the activities in the Nigeria Stock market be deepened in order to foster stability in trading activities.

Kidney diseases rank 3rd amongst life threatening disease, after cancer and heart disease. Anemia is an constant complication of chronic kidney disease that significantly contributes to the symtoms and complications of the disease. Aim of the study is to study the hematological manifestations ofchronic kidney disease (CKD) and to correlate the hematological abnormality with the clinical stage.182 patients with chronic kidney disease admitted in Osmania general Hospital were included in the study for a period of 2 years. Patients in various stages of the disease were studied for various hematological parameters. CKD was seen across all age groups. Increased prevalence of CKD was seen in the age group of 41 - 50 years. Majority of patients at presentation were in stage V CKD. Hypertension (47.2%) was the leading cause of CKD, followed by diabetes. Ischemic heart disease was the most common associated illness seen in CKD. The mean hemoglobin in the present study was 7.99 +/- 1.2 g/dl. The fall in mean hemoglobin had an inverse correlation with the stage of CKD. The mean RBC count was 2.73 x1012/l, with significant fall in the RBC count as the stage of CKD progressed. The mean absolute reticulocyte count also showed significant decline as the stage progressed.Chronic kidney disease is seen across all age groups with a malepreponderance. Hypertension is the most common cause of CKD. The anemia of CKD is a normocytic normochromic anemia. The fall in hemoglobin is due to low RBC count due to decreased erythropoiesis.

Almost every Chinese tourist come to Taiwan would take pineapple as a souvenir when they are going home. In order to understand the reasons that drive them to rush for buying pineapple in Taiwan, the present study employed qualitative method and conducted interviews to fulfill the research. 22 respondents who had taken pineapple cake as souvenir were invited to take part in the interviews. The results indicated that pineapple cake owns several irreplaceable features that are attractive for the tourists.