The emergence of various brands of bottled water, with the common core benefit of quenching of thirst but arrays of features with marketing implications, have exposed consumers to making choice. This longitudinal study covered 2013-2018 and used questionnaire to obtain information from 343 consumers and 210 sellers of bottled water in Enugu Metropolis, Nigeria which were exposed to hypothetical tests. Findings showed among other things that choice of brand of bottled water is significantly determined by company of make in Enugu, Metropolis, consumers purchasing power and social status significantly determine the choice of brand of bottled water and that NAFDAC seal of quality significantly accounts for the choice of bottled water. It was concluded that consumers choice of bottled water in the area under review include company of make, social group and regulatory authority (NAFDAC) confirmation of quality of the brand of bottled water through seal of quality on the bottle of the water. The study recommended that; bottled water company should produce bottled water that conform with the expectation of consumers to obtain loyalty, varieties of brand should be produced to take care of different income and social groups devoid of compromising to quality standard and that regulatory agencies should supervise every production process, ensuring that brand of bottled water meets up with both local and international standard.

Scheduling the final project is a problem that is often faced by a college. Because there are many criteria that can be used as a reference for preparing the schedule. In the process of schedule preparation has several requirements are needed, such us lecturer teaching schedule should not clash with the schedule of final project. The availability of the chief examiner, timer and rooms for test. Therefore, it need an optimum and efficient method in determining the criteria on scheduling the final project. In this optimization process uses the method of genetic algorithm. Genetic Algorithm (GA) is algorithm that in solving the problem using crossover operator and mutation operator to obtain the desired cross bits. It aims to get the optimal attribute value in terms of fitness equation from chromosome. The result of the training show GA can produce the optimal criteria value of scheduling the final project criteria, so that can be used by the college as the preparation of the final project schedule.

Nowadays, domestic business actors should be able to prepare themselves and have a good strategy in producing quality products and have a wide marketing network, so that the market or consumer can accept the products, so that small industry business can increase family income. Starting from the survey conducted by the researchers, there are several household industries, in Deli Serdang District, especially in Percut Sei Tuan District, where business actors manage their business with a simple, but the resulting product has a chance to be liked by the community. Therefore it is necessary that a good strategy for the perpetrators of home industry can survive and expand its industrial network. This study aims to make household industry business can compete and can increase family income, therefore need to do strategy. Looking at the problems faced by domestic business actors can do strategy. The problems in the household industry are raw materials, capital, human resources (labor) and marketing. The object of this research is a light snack business entrepreneur in District Percut Sei Tuan Deli Serdang Regency. To increase the family income, the domestic industry needs a better business management solution. So the second year research needs to be done: 1) better management of business model of home industry by adding supporting variable that is technology and partnership. 2) Compilation of model of business development of home industry, pilot development of business model of home industry, 3) socialization and implementation.

According to the non-stationary characteristics of wind power, a novel wind power combined multi-step prediction model based on differential auto regressive moving average model in variational mode decomposition and time series analysis is proposed. Firstly, the wind power sequence is subjected to variational mode decomposition to reduce the non-stationary characteristics of the wind power sequence. Secondly, the ARIMA model is established for each component. Finally, the component prediction results are superimposed to obtain the final wind power prediction value. The experimental results show that the proposed combined prediction model has higher prediction accuracy.

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.