ORIGINAL RESEARCH ARTICLE | June 10, 2026
Determinants of Delayed Marriage among Women of Reproductive Age in South-South Nigeria
Gbaranor K. B, Ikurayeke J, John E. E, Ekeng O, Iniama D, Etuk M. S, Mube W. A, Barinua-Gbaranor N. P, Okoiseh O. S, Chikereze C. C, Nwofor P. N, Moses M. F, Monday N. S
Page no 149-153 |
https://doi.org/10.36348/sjbr.2026.v11i06.004
Marriage is an important institution among women folks and marriage bring joy, peace, stability, focus and sense of belonging in womanhood. When delay occur it brings psychological trauma to women. Delayed marriage among women generally refers to women marrying at a later age than what is traditionally expected in each society and this varies by culture. Across many parts of the world, the average age of first marriage has been rising. This shift is linked to social, economic, and cultural changes rather than a single cause. Delayed marriage among women of reproductive age is influenced by several factors including social, economic, cultural, psychological, spiritual and personal factors. This study aimed to Assess the Determinants of Delayed Marriage Among Women of Reproductive Age in South-South Nigeria. This was a cross-sectional study involving 250 women. Participants’ age is between 18 to 47 years. A well-structured questionnaire was administered to participants. The study lasted for a period of 2 months. Statistical analysis was done using SPSS version 25.0 and p < 0.05 was significant. The results revealed that majority (36%) of the participants were between 29-34 years old, 76% had tertiary education, 40% are unemployed, 60% residence in Urban areas, 60% are not in a relationship. Several factors were responsible for the delay in marriage including: financial instability 80%, 80% is delayed due to economic responsibilities, 80% is due to career development, 76% due to cultural influence, 68% is due to psychological influence, 80% influenced by family expectations, 80% due to social pressure, 76% due to personal factor, 68% due to desire for independence, and 68% is due to previous relationship experiences. This delay in marriage is due to social, economic, financial, personal, psychological, cultural, career development, and desire for independence.
The present paper endeavours to assess the fiscal performance of a major States, Uttar Pradesh and a minor state, Uttarakhand separated by Uttar Pradesh in November 2000. The paper highlights that while Uttar Pradesh’s large economy and revenue generation capacity give it an advantage, its high debt burden, reduced social sector spending, and growing central dependence pose fiscal risks. Uttarakhand, despite its smaller size and limited industrial base, exhibits better fiscal discipline, prioritizes human development sectors like education and health, and shows positive signs of debt management. However, its over-reliance on central grants limits its financial independence. The study suggests that both states need to balance infrastructure spending with sustainable social sector investment to ensure long-term fiscal health and economic stability.
SUBJECT CATEGORY: NURSING | June 10, 2026
A Comprehensive Review of Individual Time Management Strategies: Classification, Mechanisms, and Comparative Analysis
Hend M. Tag, Hotaf Abdullah Alharbi, Rahaf Abdulhadi Alshehri, Mayar Felemban, Anwar Mustafa Tammar, Sharooq Ahmed Naser, Fatma Ahmed Elsobky, Alaa Mujallad, Hala Mohammed Yasin
Page no 67-75 |
https://doi.org/10.36348/sb.2026.v12i05.001
The study of time management has gained prominence due to its significant correlation with productivity, academic and professional achievement, psychological well-being, and self-regulation. Multidimensional productivity solutions that incorporate cognitive, behavioral, motivating, and environmental factors have gradually replaced traditional scheduling and prioritization strategies. The field of time management is still conceptually fragmented, with many strategies having a lot of overlap and no comparative synthesis across categories, even though time management techniques are quickly becoming popular in academic literature, professional training, and digital productivity platforms. This review provides a comprehensive narrative synthesis of applications for managing one's own time in a structured functional classification framework. There are many different types of strategies, but some of the most common ones include systems for managing tasks, systems for prioritizing tasks, systems for reducing distractions, systems for managing energy and wellbeing, systems for collaborative time management, and systems for focusing on concentration and deep work. The functional purpose, cognitive and behavioral mechanisms, practical applications, strengths, and limitations of each category were the primary areas of focus in the comparative analysis. Despite differences in terminology and implementation, the review shows that time management systems frequently display similar mechanisms such as attentional control, self-regulation, executive functioning, behavioral automation, and environmental structuring. Because effectiveness depends on contextual needs, cognitive load, personality attributes, and individual goals, the results show that no one method is inherently better. This review provides a structured framework that helps people choose and apply time management strategies based on evidence. It does this by integrating classification, mechanism-based interpretation, and comparative analysis to address conceptual fragmentation in the literature.
ORIGINAL RESEARCH ARTICLE | June 10, 2026
Factors Preventing Women in Rural Areas from Taking Delivering in Health Facilities in South-South, Nigeria
John E. E, Gbaranor K. B, Ikurayeke J, Ekeng O, Opara C. J, Mube A. W, Moses M. F, Monday N. S, Barinua-Gbaranor N. P, Etuk M. S, Okoiseh O. S, Iniama D, Chikereze C. C
Page no 132-135 |
https://doi.org/10.36348/sijog.2026.v09i06.001
Delivery is a process that every pregnant woman must pass through or undergo and this delivery could be spontaneous vaginal delivery (SVD) or cesarean section (CS). This delivery could occur at the health facilities (hospital) or at the home of traditional birth attendants (TBA). Delivery in the health facilities is important because it prepares the expectant mothers before the arrival of the baby through antenatal care. In the rural areas, majority of pregnant (expectant) mothers are willing to access facilities and delivery. However, these women could not deliver in the health facilities due to several factors that prevented them from accessing the facility and these factors include culture, distance, finance, and lack of awareness. This study aimed to Assess Factors preventing women in rural areas from delivering in health facilities in South-South, Nigeria. This was a cross-sectional study involving 250 women. Participants’ age is between 15 to 40 years and above. A well-structured questionnaire was administered to participants. The study lasted for a period of 2 months. Statistical analysis was done using SPSS version 25.0 and p < 0.05 was significant. The study revealed that 56% of the participants were married, 56% had secondary level of education, 56% were housewife, 80% do not have access to transportation, 80% frowned at the attitude of the health workmembers0% agreed that lack of skilled health workers affects women’s choice of delivery in the heath facility and factors are cultural, financial, lack of health facilities, and influence of family member. In rural areas several interconnected factors are known to prevent pregnant women from carrying out delivery in the health facility.
ORIGINAL RESEARCH ARTICLE | June 10, 2026
Causal and Explainable Federated Multimodal AI for Precision Cancer Medicine: Fusing Omics, Imaging, EHRs, and CRISPR Screens
Sehar Rafique, Tahira Batool, Faizan Ali, Muhammad Yaqoob, Maria Arshad, Marjan Bagherinajafabad, Kifayat Ullah, Sohaib Usman, Nimra Ashraf
Page no 154-176 |
https://doi.org/10.36348/sjbr.2026.v11i06.005
Precision oncology increasingly depends on integrating heterogeneous evidence across molecular profiling, medical imaging, and clinical records, yet robust deployment is limited by data fragmentation across hospitals, missing modalities, batch effects, privacy constraints, and weak mechanistic interpretability. We propose a causal and explainable federated multimodal learning framework for cancer prediction and target discovery that fuses multi-omics, radiology or digital pathology imaging, longitudinal EHR features, and CRISPR dependency signals. The system trains across sites without centralizing raw data using federated optimization with secure aggregation and optional differential privacy, and is designed to remain reliable under non-IID site heterogeneity and structured missingness. To move beyond correlational risk scoring, we introduce a causal layer that encodes structural assumptions for treatment response and survival, supports counterfactual prediction, and applies invariant learning style regularization to improve transportability. For clinical safety, the framework outputs calibrated uncertainty and multi-level explanations, including modality contribution reporting, feature attributions over genes, imaging regions, and EHR variables, and causal what-if narratives for treatment changes and gene perturbations. We define a fully public experimental protocol using TCGA and CPTAC for multi-omics and outcomes, TCIA for imaging domain shift evaluation, and DepMap for CRISPR based dependency mapping and pathway level target rationale. This work provides an end-to-end, reproducible blueprint for privacy-preserving, mechanism-aware cancer AI, enabling benchmark driven validation prior to prospective multi-hospital deployment.
ORIGINAL RESEARCH ARTICLE | June 10, 2026
Enhanced Outcomes of SGLT2 Inhibitors and GLP-1 Receptor Agonists: A Systematic Review of Major Adverse Cardiovascular Events and Renal Outcomes
Abdulrahman Mazki J Alanazi, Fayez Solubi Alenezi, Alwaleed Mazki Alanazi
Page no 392-403 |
https://doi.org/10.36348/sjmps.2026.v12i06.004
Background: Two classes of drugs, SGLT2i and GLP-1 RA, have revolutionized the management of type 2 diabetes mellitus (T2DM) from glycemic control to overall cardiorenal risk reduction. Though there was strong evidence from randomized controlled trials, there are still some aspects of their effectiveness in the real world that are not understood completely, such as their efficacy with combination therapy and outcomes in advanced chronic kidney disease (CKD). Methods: This systematic review followed PRISMA 2020 guidelines. A detailed literature review was carried out on PubMed/MEDLINE, Web of Science and Scopus for the articles published over a past 5 years. Studies were included if they involved adult patients with T2DM treated with SGLT2i, GLP-1 RA or both, and if they measured major adverse cardiovascular events (MACE) or renal events. Eleven observational studies (mainly retrospective cohort, with more than 700,000 patients) fulfilled the inclusion criteria. The ROBINS-I tool was used to assess the risk of bias. Results: Combination therapy with the two drugs showed additive cardiorenal benefit: A reduction in risk of MACE by 30% compared to GLP-1 RA (HR 0.70; 95% CI: 0.49–0.99) and by 29% compared to SGLT2i (HR 0.71; 95% CI: 0.52–0.98). Adding GLP-1 RA to SGLT2i was associated with a 27% lower risk of major adverse kidney events (HR 0.73; 95% CI: 0.69–0.77) and a 39% lower risk of end-stage kidney disease (HR 0.61; 95% CI: 0.47–0.78). SGLT2i was more renal protective in advanced CKD (stage 4–5), but both classes of drugs retained cardiovascular benefits. Significant increased mortality (HR up to 1.97) and cardiovascular events were seen with treatment discontinuation ≥180 days. Conclusion: SGLT2i and GLP-1 RA are consistently linked to better MACE and renal outcomes in T2DM patients and combination therapy provides additional protection. The results were very strongly in favor of the current guideline recommendations for these agents in high cardiorenal-risk patients. Studies aimed to assess combination therapy versus monotherapy in dedicated randomized controlled trials, especially in non-diabetic and advanced CKD populations are warranted.
ORIGINAL RESEARCH ARTICLE | June 10, 2026
Gender-Responsive Budgeting as the New Paradigm of Public Finance: Advancing Social Justice within the Sustainable Development Framework
Harsheen Kaur Dhadly
Page no 210-225 |
https://doi.org/10.36348/sjef.2026.v10i06.003
Gender-Responsive Budgeting (GRB) represents a substantive reconfiguration of public finance, contesting the long-held assumption of fiscal neutrality and foregrounding equity as a core principle of budgetary governance. This paper optimizes GRB as a paradigm shift that combines gender analysis into the formulation, allocation, execution, and evaluation of public budget, thereby modifying policies into instruments of social justice. It argues that conventional frameworks, aggregate efficiency, and metrics of growth, often creates obstacles in fulfilling gender-differentiated needs and perpetuate structural inequalities that inculcate deviations within labour markets, care economies, and access to public services. Anchored within the normative framework of the Sustainable Development Goals (SDGs), particularly SDG 5 (Gender Equality), SDG 10 (Reduced Inequalities), SDG 8 (Decent Work and Economic Growth), and SDG 16 (Peace, Justice, and Strong Institutions), the study repositions GRB as a pin-point mechanism for translating global promises into actionable fiscal strategies. By drawing insights from public finance theories, the paper gave an edge to how gender-responsive fiscal intervention targeted social expenditure, gender-sensitive taxation, and investments to create impactful spillover effects, i.e., beyond equity to enhance productivity, human capital formation, long-term economic resilience, and social justice. The analysis further underlines GRB’s role in advancing distributive justice for unpaid and underpaid care workers and correcting allocative inefficiencies in disadvantageous women and marginalized groups. By rooting fairness and transparency into budgetary pipeline, GRB arms democratic governance and rebuilds fiscal discipline and coordination between efficiency and equity rather than a trade-off between the two. In a sense, GRB challenges the growth-centric orthodoxy of public finance and advances a welfare-oriented approach. The paper methodically and indispensably restructures public finance as a mutative tool that harmonizes welfare, justice, and growth. In the context of prevailing gender disparities and evolving challenges, GRB emerges not merely as a corrective policy add-on, but a foundational framework for sustainability in economic governance.