As the COVID 19 pandemic evolves, concerns about fungal co-infections and superinfections are increasing, mainly towards invasive pulmonary aspergillosis (IPA), which increases significantly the risk of mortality in these patients, thus requiring early detection and diagnosis for better treatment efficiency. We’re describing the case of a young, non-immunocompromised patient with SARS COV 2 infection, who developed an IPA due to Aspergillus flavus.

Psychological capital is employee’s positive state in obtaining and sustaining the competitive advantage. Psychological capital is referred to as the “HERO within” indicating what individuals are likely to achieve with, as opposed to what they are likely to achieve without, positive psychological resources. This acronym also connotes the four positive cognitive resources constituting psychological capital: Hope, Efficacy, Resiliency, and Optimism. It is posited that these resources tend to work together resulting into superior performance. This paper examines the relationship between psychological capital and organizational ambidexterity. The paper is conceptual in nature and reviewed extant literature. The findings from the reviewed literature revealed that many psychological attributes are yardsticks for the survival of any organization, these are: consistence, perseverance, appreciation, innovative etc. Managers’ ambidextrous behaviors’ needs to be developed and utilized for smooth running of any institution and on time too. The study recommends that management of organizations can help their managers, through training and re-training to develop their psychological capital. Also, employees with low psychological capital should not always be used in critical situations that need urgent attention.

This article compares social learning outcomes of homeschooled and traditionally schooled children under the Accelerated Christian Education Curriculum (ACE). The comparison is done by looking at the social skills constructs of persistence, self–control and social competences. This study adopted the comparative research design, targeting children under the Accelerated Christian Education. 426 children were sampled, with 272 participating Questionnaires were used to collect data on the three constructs. From the computation of children Independent sample t-test, it was revealed that there were no significant differences between the homeschooled and traditionally schooled children as perceived by the children, parents and teachers on the three Social constructs. Consequently it was noted children, parents and teachers received home schooling as effective in developing children persistence, self-control and social competence learning outcomes. It was also demonstrated that acquiring these social skills was independent of home and traditional schooling. Hence it meant home school was equally effective in nurturing the social skills required for children to fit well in society. Though further studies needed to be done to test the robustness of these findings when other variable are added to the model.

This work investigated effect of peer-tutoring on senior secondary school students’ academic performance in mathematics in Ahoada East Local Government Area of Rivers State. The study adopted quasi experimental research design of pre-test, post-test non-equivalent group design. This was premised on the fact that; there has been poor performance of students in both internal and external examinations among the senior secondary school students in Mathematics in the schools. Two research questions and two hypotheses were formulated to guide the study. A sample size of one hundred and ninety- five (195) students was drawn from a population of four thousand, one hundred and fifty-eight (4,158) SS 2 students. Mathematics performance test (MPT) and lesson notes (LN) were the two instruments used for data collection. The face and content validities of the instrument was done by three experts in Educational Measurement and Evaluation in the Department of Guidance and Counselling, Ignatius Ajuru University of Education. A reliability coefficient of 0.76 was obtained for the MAT using test-re-test reliability method. The data collected were analysed using mean, standard deviation and ANCOVA which were tested at 0.05 level of significance. The result of the findings revealed that students taught Mathematics using Peer Tutoring Strategy performed better than those taught using Conventional Teaching Method. It is therefore recommended that peer tutoring strategy be incorporated in the teaching of other subjects.

After the outbreak of COVID-19, the literary and artistic works about COVID-19 have appeared one after another. As a new branch of discourse analysis, the Multimodal Discourse Analysis has always been an important way for studying multimedia discourses. Based on the theory of visual grammar, this study intercepts and makes a qualitative analysis of the images with research significance in the documentary Together Against COVID-19 produced by CGTN. In this way, this study has drawn a conclusion that the documentary editors use picture language to create a responsible, friendly, and also dignified national image of China, to describe the emotional state of the masses in China in the process of COVID-19, and to achieve the purpose of conveying emotions and shaping positive national image through different aspects.

Wheat (Triticum aestivum L.) is one of the important crops of human diet around the globe. Purify flour of wheat contains less vitamins and causes constipation and malnourishment. The experiment was designed to study on wheat crop, botanical and agricultural parameters and advances in plant sciences and accomplished in Randomized Complete Block Design. Sowing was done in field with plot size of 216 m2. LAI is very crucial growth index which directly controls the interception of solar radiation and consequently dry matter production and accumulation. The LAD exhibits the tenacity of leaves to remain photo synthetically active during the growth season of a crop. The NAR indicates the dry matter accumulation in plants per unit canopy area. Recorded data was subjected to analysis of variance by using Statistix 8.1 software. It presented mean values of all treatments for crop growth rate. Maximum results for CGR observed under T3 with 14.3 mean values. While minimum observations had been shown by T1 that is 13.4. It showed mean values for all applied treatments and wheat showed maximum value of leaf area index of (3.3367) under treatment (T4) and minimum value of leaf area index that is 3.0233 was shown by plants under treatment (T7). Maximum results for flag leaf area observed under T4 with 114.73 mean values. While minimum observations had been shown by T1 that is 88.03. It is recommended that the farmers should use split dose of potassium fertilizer for better growth and yield of wheat and it may also be helpful in future prospects.

All health workers who care for women and children during the postnatal period and beyond are key players in protecting, promoting, and supporting breastfeeding. However, most health workers do not have the necessary knowledge and skills to effectively play their roles. This study aims to assess the knowledge about breastfeeding among health workers. This was a cross-sectional study among 220 health workers at the University of Port Harcourt Teaching Hospital. A 32-point questionnaire based on the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF) manual on the Baby-Friendly Hospital Initiative Training Course for Maternity Staff was used to assess the knowledge of the health workers. Scores of >50% were classified as good knowledge and <50% as poor knowledge. The overall good knowledge about breastfeeding was 51.8%. The majority (80.0%), had good knowledge about the benefits of breastfeeding and 169 (76.8%) of health workers had good knowledge about exclusive breastfeeding and the timing of breastfeeding. Good knowledge about the importance of colostrum was 27.7%, 91 (41.4%) health workers had good knowledge of birth practices that affect breastfeeding, and only 72 (32%) health workers had good knowledge about the problems of breastfeeding. In conclusion, the overall knowledge about breastfeeding among health workers in this study was not satisfactory. To breach this gap, hospitals should ensure that their staff has sufficient knowledge, competence and skill to support breastfeeding.

Involvement of the ovary with malignant lymphoma is a well-known late manifestation of disseminated nodal disease. Primary ovarian Burkitt lymphoma is very rare and mainly affects young children. We present a case of a 25-year old woman at 37 weeks pregnant with sporadic Burkitt lymphoma who presented as having ovarian cancer. The patient was managed via elective cesarean section and unilateral oophorectomy. Histopathological examination and immunohistochemical stains were carried out, revealing non-Hodgkin B-cell Burkitt lymphoma. After the diagnosis, the patient was referred to the oncology center for chemotherapy.

Introduction: to compare the clinical, biological, and evolutionary profiles of sepsis with multi-drug resistant and non-multi-drug resistant bacteria in the newborn population. Methods: we performed a prospective, observational, comparative study to monitor all the episodes of blood stream infection, received from the neonatal intensive care, from June to December 2019. Collected data included demographics, symptoms at the time of sepsis, laboratory values, microbiologic results, preliminary and final outcomes. Results: Out of 219 positive blood cultures, 93 episodes were retained. The median age was 6,66 days, 63.4% of newborns were male and 62,4% were premature, 39% of whom had a gestational age of less than 34 weeks. Multidrug-resistant (MDR) bacteria caused 68 sepsis episodes, while non-MDR resistant bacteria caused 25. Bacteremia with MDR organisms, in comparison with non-MDR organisms was associated with poorer preliminary outcomes after empirical antibiotherapy (14% vs 32%; P= 0,001), higher overall mortality rate (20% vs. 51%, P =0.003), and longer antibiotic intake (9.84 vs 7.56 ; P=0,02). The major risk factor found is prematurity (70% vs 40%, P<0,001), No statistical significance was found when other clinical features or laboratory values were compared for infections with MDR vs. non-MDR bacteria. Conclusion: Septicemia with MDR bacteria is more common than non-MDR one in NICU, and it is related to higher morbidity and mortality rates.

This article focuses on the research of the characteristics of foreign energy discourse from the perspective of "One Belt One Road". Combined with the current international economic background, the international energy cooperation language discourse and activities relevant documents reading are carried out through a horizontal and vertical comparative analysis. It is mainly about the language itself to analyze energy discourse development, existing problems and improvement measures. From the case analysis of scientific knowledge competition and discourse construction in the international energy field, it can be seen that adding the scientific and technological discourse perspective to study energy transition is conducive to a deeper understanding of the future energy strategic pattern and direction. It is also advantageous to the huge driving force contained in energy transition to promote China's development and international system change. It requires us to consider the international background work understanding and the language plan itself. We are supposed to analyze the current political hotspots reasonably such as the situation in Russia, Ukraine and related energy development strategies, and conduct in-depth exploration of energy academic discourse studies socially and contemporarily. Besides, it is significant to highlight the times development theme to promote global energy governance.

The study examines empirically exchange rate determinants in African sub-Sahara countries specifically Anglophone West African countries like The Gambia, Ghana, Liberia, Nigeria, and Sierra Leone between 1981 and 2019. In order to achieve this objective, both descriptive statistics and the Panel Least Square (PLS) estimation methods were employed to analyze the data. The result of the analysis reveals that INFL has a negative relationship with EXCR but it does impact significantly on it at 5 percent level; INTR has negative and an insignificant impact on EXCR at 5 percent level; CABL has negative relationship with EXCR and it also impacts significantly on it at 5 percent level; TMTR has negative relationship with EXCR and it also impact significantly on it at 5 percent level. The study therefore concludes that inflation rate (INFL), interest rate (INTR), current account balance (CABL) and terms of trade (TMTR) depreciates exchange rate (EXCR) in African sub-Sahara countries specifically Anglophone West African countries. Based on the findings of the research work, the following are recommended: The government should encourage export diversification especially the non-oil sector exports. This can be achieved through value addition to both the agriculture and manufacturing sub-sectors output. There should be stable exchange rate management policy that avoids over-valuation or excessive depreciation of their currencies and ensures international competitiveness of tradable goods, relative price stability as well as avoiding inconsistent fiscal policies.

Ectopic pregnancy implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy, whose pathogenesis is still unknown. We report in this work the case of a 37 years old patient who had been operated 10 years ago for a right ectopic pregnancy and who was presented to the emergency department for a ruptured ectopic pregnancy and in the surgical exploration showed a ruptured pregnancy on a salpingectomy stump.

This paper illustrates the hypothetical study conducted when using quarry dust (QD) and sludge in producing 225mm x 225mm x 450mm hollow sandcrete blocks. QD and wastewater treatment sludge (WWTS) were used to replace river sand at 10%, 20% and 30%. Proportions of 50%QD:50%WWTS and 75%QD:25%WWTS were considered for a standard cement to sand combination of 1:6. Water-cement ratio (w/c) was increased as the percentage replacement increased. Specimens were produced and cured via sprinkling for 28 days. They were subjected to compression and water absorption tests. Mix A2 having 75%QD:25%WWTS at 0.55 w/c and 10% sand replacement had the highest compressive strength and water absorption values of 3.69N/mm2 and 6.22% accordingly. These results exceeded the NIS 87:2000 recommendation of 3.45N/mm2 for 225mm load bearing blocks and 12.61% by ASTM C140 respectively. Therefore, QD and WWTS in right proportions can substitute river sand in producing load bearing sandcrete hollow blocks.

Endoscopic per-oral myotomy (POEM) is innovative an endoscopic technique for treatement of achalasia. This new technique has recently introduced in Morocco. It was performed on 7 patients at our institution. We collected patients data, the duration of the procedure, the location of the myotomy and patients follow-up. Results: Per-oral endoscopic myotomy was successfully performed in all patients, with adverse events observed in only one patient. Two months after POEM, significant reductions in symptom scores (Eckhardt Score 7.5vs 3) and this persisted at 3 years after POEM. Gastroesophageal reflux was observed in 16.8% of patients at 1 month and 21.3% at 3 years of follow-up. Per-oral endoscopic myotomy was successfully performed in all cases. Complications were rare (1.4%) and there was no mortality. Significant improvements in Eckhardt score were observed at 2 months, 1 year after POEM. Conclusions: Based on our series, POEM is a safe and effective treatment for achalasia, there are relatively few contraindications, and the procedure can be used as first- or second-line treatment.

Cystosarcoma phyllodes of the breast are rare, and it accounts for less than 1% of the malignant tumors of the breast. Its clinical and radiological characteristics are those of benign tumors, and only a fast tumoral growth can evoke diagnosis. The diagnosis is confirmed by anathomopathology and immunohistochemistry. Surgical extended resection is the treatment of choice. Adjuvant radiotherapy may be administered in patients with high-grade tumors, positive surgical margins, or postoperative recurrence. Here we present a case of a woman affected by a sarcoma phyllodes tumor, an uncommon oncologic disease.