ABSTRACT
Background: Kupang Regency and Kupang City are two areas with a high number of infant mortality cases (including AKN) and contribute quite significantly to the number of infant and neonatal deaths at provincial and national levels and make both regions one of the regions with the number of infant and neonatal deaths is higher than other regions in Indonesia. Method: This research is a non-experimental study with a cross sectional approach. The research sample was 73 midwives in all puskesmas in Kupa City and Kupang Regency which were determined by total sampling. Result: The results showed that (a) the knowledge factor did not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experienced respiratory distress in the delivery room of the Kupang area health center. (b) The training factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (c) The length of service factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (d) The work status factor does not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (e) The factor of tenure is the factor that has the most dominant relationship with the skills of the midwife.

ABSTRACT
Public universities in Kenya have experienced recurrent employees’ unrest which could be as a result of ineffective internal communication between the university and its employees. During crisis, effective internal communication is vital as it is the only way the organization and employees can dialogue and stop the crisis. Despite vast research on organizational internal communication, literature on employees’ perception on internal communication during unrest in Kenyan public universities during unrest is deficient. Data was collected by means of questionnaires and FGDs among 374 employees and 114 union officials respectively. The findings revealed that the employees felt that during unrest there are no sufficient internal communication channels, and opportunities within the organization to give suggestions. Moreover, the study ascertained that the organizations do not support two-way communication between employees and management during unrest. The other finding was that during unrest the information employees got from their organization was unreliable and untimely. Therefore, the employees are largely dissatisfied with the internal communication between them and the organizations they work for during unrest.

ABSTRACT
Objective: using plain bupivacaine with dexamethasone in spinal anesthesia is a new technique in total hip replacement operation. It provide good sensory and motor block with less complication. Dexamethasone is a potent corticosteroid drug was mixed with bupivacaine. This study was done to compare the incidence of side effects of spinal anesthesia, the duration of both sensory and motor block following administration of heavy bupivacaine alone with administration of plain bupivacaine mixed with dexamethasone. Materials and Methods: 100 patients whose ages between 40 &90 years and weight between 70 &110 KG and American society of anesthesia (ASA) 2/3/4 who underwent total hip replacement under spinal anesthesia were randomly allocated into 2 groups by sealed envelope method, each group with 50 patients. First group received 15 mg heavy spinal bupivacaine alone while the second group received 15 mg heavy bupivacaine mixed with dexamethasone. Results: The duration of both sensory and motor block was longer in dexamethasone group in comparison to control group (p<0.001). The incidence of hypotension, breadycardia and shivering was less in dexamethasone group. Conclusion: Dexamethasone when mixed with plain bupivacaine prolong the duration of sensory and motor block and reduce the incidence of hypotension, Breadycardia and shivering.

ABSTRACT
These days, women are very much keen to be empowered socially, economically, educationally and politically that can help them take decision regarding mobility, economic independency, political participation public speaking and awareness to exercise rights. Therefore, the present study is planned to check the levels of subjective well-being among the housewives and working women of Khagaria district of North Bihar. For the present study total sample consisted of 120 women comprising housewives (n=60) and working women (n=60) from different organizations where women were engaged in performing their task and housewives selected from different houses where women are dependent on their husbands. Total subjects’ age were ranged between 28 to 60 years. Data gathered through questionnaires using Psychological/ Subjective Well-being scale. Having analyzed the data, results indicated that housewives have higher degree of subjective well-being in comparison to working women, hence the significant difference has been found in all the dimensions of subjective well - being but it is interesting to mention here that both the group of women needs to have social and emotional support from their respective social and family institutions as reported by them. Finally results have been discussed in detail in the light of present changing scenario of human life.

ABSTRACT
Objective: Establish diagnostic reference levels for interventional radiology procedures common to Cardiology Institute and a private polyclinic and compare them with international standards. Methods: Study carried out in two interventional radiology units in Abidjan, Cardiology Institute and a private polyclinic. Coronarography, coronary angioplasty and uterine fibroid embolization were commun procedures to both centers selected. Thirty patients per procedure were selected. Epidemiological data and dosimetric values (PDS, scan timing, cumulative doses) were noted. Results: Pds was 29, 86 Gy.cm2, scan timing 7 min 82s, cumulative doses 457, 5 mGy for coronarography. Pds was 47, 77 Gy.cm2; scan timing 27 min 28s; cumulative doses 862 mGy for coronary angioplasty. Pds was 298, 45 Gy.cm2; scan timing 38 min 09s; cumulative doses 1162 mGy for uterine fibroid embolization. Conclusion: Differences were observed between the two sites due to differences in equipment. NRD were sometimes lower or higher than international values.

ABSTRACT
Background: Venous thromboembolism (VTE) is the leading cause of morbidity and mortality worldwide among patients undergoing surgical procedures. This study aimed to determine the incidence, predictors, and outcome of VTE among patients undergoing major surgical procedures at Bugando Medical Centre (BMC). Methods: A descriptive longitudinal study involving 381 participants was conducted from February 2020 to July 2020 at BMC. Patients with a high modified Caprini and modified Wells score underwent doppler ultrasound and computed tomography pulmonary angiogram to confirm presence of VTE. Post mortem was performed on participants who succumbed to death prior to these investigations. Categorical variables significance calculated using Chi-square and Fisher’s exact tests. Cox regression analysis was used determine the predictors. Kaplan-Meier survival curve used to depict the occurrence of VTE. Results: The cumulative incidence of VTE was 11.8%. Age ≥45 years, body mass index ≥25, hypertension and prolonged immobilization were significant predictors of VTE. Around 43.0% (n=164) were postoperatively classified as having a high risk of developing VTE. Of these, 27.7% (n=45) developed VTE (p<0.001) of which 14 patients died resulting in a mortality rate of 31.1%, and the mortality was significantly associated with males (p=0.013). Only 17.7% (n=29) of high-risk patients received VTE prophylaxis, however, prophylaxis was protective against development of VTE (p=0.023). Conclusion: Venous thromboembolism is not uncommon among postoperative patients and is associated with high mortality rate. Appropriate VTE screening and prophylaxis is of paramount importance in order to lower VTE morbidity and mortality.

ABSTRACT
The relationship between revenue and cost is established to find the intrinsic nature. It is found when the best labour is 98 the cost is low and the number of cars are 1.4 with the intersection of 80 thousand RMB which is turnover point. When the best capital is 498RMB the turnover point is 0.5 of the number of cars with the 50 thousand RMB. The minimum total cost has been established to find the labor and piece. It is found the 1Yuan are the minimum total cost at labor of 0.001 with γ=0.02 and Pk=200. The biggest total cost will happen which attains 250 product at labor being 480.

ABSTRACT
The study focused on perception of Ondo State secondary school teachers on need for Peace Education. The sample consisted of two hundred and fifty male and female teachers randomly selected. A self-designed instrument tagged Questionnaire on Perception of Teachers on Need for Peace Education (QPTNPE) was used. The questionnaire consisted of fifteen items that enabled the researcher obtain data needed. Three research questions were generated and the result was tested at 0.05 significance level. The result on analysis of obtained data revealed that secondary school teachers’ perception on need for Peace Education in Nigerian schools was positive. The findings further indicated that there was no significant difference between male and female teachers on need for Peace Education in Nigeria secondary schools. Based on these findings, the researcher recommended that Peace Education should be properly integrated into Nigerian school curriculum and as such should be taught as a separate subject. This will go a long way in developing in the learners the values, attitudes and skills required for the culture of peace at home, school and the entire society at large.

ABSTRACT
The occurrence of Soil Transmitted Helminths (STHs) and Helicobacter pylori among children in Port Harcourt Children’s home was investigated. Faecal and blood samples were collected from the participants. The faecal samples were examined for the presence of STHs using the direct smear and modified acid fast staining techniques while the blood samples were serologically investigated for the presence of H. pylori using the H. pylori IgG antibody kit. Out of the 99 children examined, 14(14.1%) and 54(54.5%) were positive for STHs and H. pylori respectively. The STHs identified included Hookworm (35.7%), Trichiuri trichiura (35.7%) and Ascaris lumbricoides (21.4%). Double infections of A. lumbricoides + H. pylori (21.3%), Hookworm + H. pylori (35.7%), T. trichiura + H. pylori (35.7%) and mixed infection of A. lumbricoides + Hookworm + H. pylori (7.1%) was recorded. The occurrence of H. pylori in relation to sex, age and level of education among the children showed no statistical significance (p < 0.05). Health education of the children and sustenance the policy and health strategies that ensure low prevalence of the infections should be encouraged. Furthermore, there should deliberate action plan to improve on the availability and accessibility to healthcare in the study area.

ABSTRACT
This article resolves the combination problem in physics and philosophy through Paul C. Mocombe’s consciousness field theory. The combination problem emerges as a result of suggesting that consciousness is either (nonlocal) outside (cosmopsychism) of the brain or everywhere and in everything (panpsychism) in the multiverse. If that is the case, how does universal consciousness combine in the brain to give us the phenomenal experience of subjective consciousness? Using Mocombeian consciousness field theory, I argue that the psychonic wave of the brain is connected to the Schumann wave of the earth to give us consciousness in material reality. The latter, Schumann wave, gives us a rhythm to life that is reflected, I go on to argue, in the two-chord structure of konpa, which comes out of Vodou. In Vodou the attempt is to find balance and harmony, through drumming and dance, between the waves to harmonize our psyche or call upon other psyches (lwas), operating on different wavelengths, throughout the multiverse. I conclude the article by arguing that Louis Gary Belizaire’s rhythm on the dance floor is a visionary expression of the psychonic and Schumann waves in unison, i.e., in harmony, and produces a harmonized (visual) wave, i.e., the Garyian wave.