Role of Psychological Capital in Effective Management of Work-stress among Tertiary Institutions' Staff in Nigeria

 Work-stress is synonymous to occupational stress. It is a common form of strain that is usually experienced by employees, in the course of performing their official duties and responsibilities. In the contemporary world of work, including the Nigerian work environment, work-stress is identified as a ‘corporate epidemic’. Its symptoms are mostly observed physically, psychologically and socially in the lives of affected employees, while the negative effect of occupational stress is specifically, measured on employee performance and organizational effectiveness. It is for the above-described nature and effect of work-stress that this study examined the role of psychological capital in effective management of work-stress among the staff of tertiary institutions in Nigeria. It adopted the explanatory survey research design, purposive and convenience sampling techniques in sampling a total number of 202 (male = 116, 57.4% and female = 86, 42.6%) academic and administrative staff of five (5) public and private tertiary institutions, in the western region of Nigeria, who served as participants in the study. All participants were Nigerians English speakers. Research participation eligibility was strictly based on the current enlistment of employees on the pay-roll of the institutions as at the time of the study. A structured validated questionnaire was used as an instrument. Hypotheses were stated and analyzed based on the data collected. Results revealed that the four psychological capital states jointly influenced work-stress management F(4,197) = 8.375; R2= 0.128; p<.05; resilience (β=0.145; t=1.983; p<.05) and optimism (β=0.294; t=3.756; p<.05) independently influenced workstress management; optimism (r=.224, P(.001)<.01), resilience (r=.350, P(.000)<.01) and hope (r=.247,P(.000)<.01) significantly correlated with work-stress management. The study concluded that psychological capital is one of the important factors that effectively helps in managing work-stress, and suggested that the management of institutions or organizations should sensitize employees on the importance of psychological capital in effective management of work-stress through seminars, trainings and conferences

Location and Land use effects on Soil Carbon Accretion and Productivity in the Coastal Savanna Agro-ecological Zone of Ghana

Land use type, climate and soil properties are major determinants of soil carbon storage and productivity, especially in low-input agriculture. In this study, we investigated the interactions among these factors at four (4) locations, namely Accra Metropolis, Ga West, Ga East and Shai Osudoku, within the Coastal-Savannah agro-ecological zone of Ghana. The land use types were maize-based cropping, cassava-based cropping, woodlot/plantations and natural forests. The impact of these on soil productivity at a given location was assessed in terms of soil carbon stocks and a Soil Productivity Index (SPI). The SPI is a composite value derived from routine soil properties such as: soil texture, available water capacity, pH, cation exchange capacity, soil organic carbon, available P, exchangeable K, potentially mineralizable nitrogen, and basic cations, among others. Principal component analysis was used to select soil properties that were used to estimate SPI. The results showed that the locations differed with respect to rainfall regimes and soil types. Locations with slightly heavier soil texture and relatively higher rainfall regimes (Ga East and Shai Osudoku) had significantly higher soil carbon storage and SPI values than the lighter soil textured locations (Accra Metropolis and Ga West). With regards to land use, forest had significantly higher soil carbon storage and SPI than all the other land use types, irrespective of location. The order of soil carbon storage and SPI were: forest > woodlot/plantation > cassava > maize. It was observed that though the Accra Metropolis location hosted the oldest forest, soil carbon was still low, apparently due to the lighter soil texture. We concluded that the soil productivity restorative ability is an interactive effect of carbon management (land use), soil texture and other properties. This interaction hitherto has not been adequately investigated, especially in low-input agriculture

Gestational trophoblastic disease in Abuth Zaria, Nigeria: A 5‑year review

Gestational trophoblastic diseases (GTD) includes a spectrum of diseases (tumor or tumor-like conditions) characterised by aberrant growth and development of the trophoblasts that may continue even beyond the end of pregnancy. It encompasses the benign trophoblastic disease (complete and partial moles), and the malignant trophoblastic diseases including the invasive mole (chorioadenoma destruens), choriocarcinoma, and Placental Site Trophoblastic Tumor (PSTT). This study was to determine the prevalence, risk factors, clinical presentation, diagnosis, treatment options and outcomes of GTD in Ahmadu Bello University Teaching Hospital (ABUTH) Zaria. A five-year retrospective study of patients with GTD managed at ABUTH, North-west Nigeria, from 1st January 2008 to 31st December, 2012 was undertaken. Data of all cases of GTD in the hospital over the 5 year period were obtained. The gynaecology ward and labour ward registers also provided information on the total number of gynaecological admissions and deliveries respectively. The data processing and analysis were carried out using the SPSS software version 16. The data obtained were expressed in percentages, means, and standard deviations. During the period of study there were 8,138 deliveries and 2,453 gynaecological admissions. There were 59 cases of GTD with 41 having choriocarcinoma, 18 molar pregnancies and no case of invasive mole or PSTT. Out of the 41 case folders retrieved, 23 were choriocarcinoma and 18 of molar pregnancies. The prevalence of GTD was 7.2 per 1000 deliveries (0.72% or 1 in 138 deliveries) and constituted 2.4% of gynaecological admissions. Hydatidiform mole (HM) occurred in 1 in 452 deliveries and choriocarcinoma occurred in 1 in 198 deliveries. Ages ranged from 19-49 years with mean of 32.5+ 5.0 years. Most (66.7%) cases of HM were 19-29years while 60.9% of choriocarcinoma cases were 30-39years. Majority of cases were multiparous. The antecedent events predating choriocarcinoma were Hydatidiform mole (31.7%), abortions (29.3%) and 2.4% followed term pregnancy. History of amenorrhea was present in all cases while vaginal bleeding occurred in 97.6%, pallor (87.8%), hyperemesis gravidarum (48.8%) and 4.9% came in shock. Consequently, common complications reported were haemorrhage (90.2%), anemia (87.8%) and shock (12.2%). Pregnancy test was positive in 90.2% of cases and serum beta hCG was done in 24.4% with more than half having a level >12,000miu/ml. All patients had pelvic ultrasound scan and snowstorm appearance occurred in 41% of benign GTD cases. Histology was used to confirm 56.1% cases of choriocarcinoma and 43.9% of molar gestation. Most (94.4%) of HM had suction evacuation while 95.6% of choriocarcinoma cases had chemotherapy, one case (2.4%) had Total Abdominal Hysterectomy. Contraception was used in 78% and common methods were male condom (41.5%) and 36.6% used combined oral contraceptive pills. Less than half (43.9%) had follow up for 6 months and 9.8% were seen for more than a year. Eight patients had subsequent pregnancies and there was one death in the series giving a case fatality of 2.4%. Gestational trophoblastic disease is a significant source of maternal morbidity with increased risk of mortality from complications if not detected early and treated promptly.Keywords: Choriocarcinoma; gestational trophoblastic disease; human chorionic gonadotrophin; hydatidiform mole; placental site trophoblastic diseas

COMPARATIVE TRIAL OF COMBINED METOCLOPRAMIDE AND DEXAMETHASONE VERSUS DEXAMETHASONE IN POSTOPERATIVE NAUSEA AND VOMITING IN GYNAECOLOGICAL SURGERY

Metoclopramide is a drug that has been used in the dose of 10 mg iv for postoperative nausea and vomiting (PONV) prophylaxis for many years and has been reported to be ineffective at this dose. That a higher dose of this drug, when used in combination with 8 mg dexamethasone, is more effective when compared with 8 mg dexamethasone only is worth validating and this study was designed to do. The aim is to compare the effectiveness of adding 50 mg metoclopramide (in two divided doses) to 8 mg intravenous dose of dexamethasone versus 8 mg dexamethasone only as a prophylactic anti-emetic in gynaecological surgery under spinal anaesthesia at University of Ilorin Teaching Hospital, Ilorin

Bacterial vaginosis in pregnancy and early labour using Nugent scoring and the implication on foetal outcome

Background: To compare the pattern of vaginal microflora during pregnancy with pattern in early labour using Nugent scoring and determine the effect of these changes on fetal outcome. Design: A prospective longitudinal study. Setting and Population: Pregnant women attending antenatal clinics of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria between June 2017 and May 2018. Methods: Consenting pregnant women who attended antenatal clinics were recruited. Vaginal secretions were obtained for Nugent scoring during pregnancy and at presentation in labour. Main Outcome Measures: Prevalence of abnormal vaginal flora in pregnancy and early labour, birth outcome, birth weight, gestational age at delivery, APGAR scores, need for neonatal ward admission. Results: Sixty-seven (33.3%) of pregnant women had abnormal flora which was consistent with bacterial vaginosis.At the presentation of these women in labour, 14.4% of them had bacterial vaginosis thus indicating a significant reduction in abnormal vaginal flora in labour compared to the proportion of abnormal flora in antenatal period(P<0.001). There were no significant differences in the fetal outcomes of mothers with bacterial vaginosis when compared with those with normal vaginal flora (P-value >0.05). Conclusions: Persistence of abnormal vaginal microflora from pregnancy till early labour did not seem to be associated with poorer foetal outcomes when compared with women with normal vaginal microflora in labour. The possibility of persistent infection or re-infection before labour may justify the need for re-evaluation of vaginal smears in the late third trimester to allow for prompt treatment before the onset of labour. Keywords: Bacterial vaginosis, foetal outcome, Lactobacillus, pregnancy, vaginal microflora. Funding: This research work was sponsored by the Tertiary Education Trust Fund, Nigeria (TETFund) with referencenumber OOU/IBR/010

Knowledge and Technical Competence Level of Extension Agent on Climate-Smart Techniques for Rice Production in North-Central, Nigeria

The study examined extension agents' knowledge and technical competency level regarding Climate-Smart Agricultural Practices (CSAP) used by rice farmers in Nigeria. The study specifically examined the technical competence level, knowledge of the extension agents, and factors that influence their competency level on CSAPs. The 88 respondents for the study were chosen using a multi-stage sampling procedure. Data were collected from respondents using a structured questionnaire, and descriptive and inferential statistics (probit regression model) were used for analysis The results show that the majority of the extension agents had high-level knowledge on crop (53.4%) and soil smart mechanism (56.8%), but low-level knowledge on water (52.3%) and weather smart mechanism (54.5%). This also hampered their job performance, as more than half (51.1%) of extension agents had low competence level in CSAPs. Factors that significantly influence the competency of extension agents were years of experience (p>0.089), educational level (p>0.002), and knowledge (p>0.000). The study therefore recommends that specific training related to the areas discovered from the research should be incorporated into the extension agents’ curriculum activities. Extension agents should also be given opportunities to improve their knowledge and competency by attending seminars and workshops in research institutions. Keywords: Competence, Knowledge, Climate smart agricultural practices, Extension agent

Aeromagnetic, Gravity, and Differential Interferometric Synthetic Aperture Radar Analyses Reveal the Causative Fault of the 3 April 2017 M\u3csub\u3ew\u3c/sub\u3e 6.5 Moiyabana, Botswana, Earthquake

On 3 April 2017, a Mw 6.5 earthquake struck Moiyabana, Botswana, nucleating at \u3e20 km focal depth within the Paleoproterozoic Limpopo-Shashe orogenic belt separating the Archean Zimbabwe and Kaapvaal Cratons. We investigate the lithospheric structures associated with this earthquake using high-resolution aeromagnetic and gravity data integrated with Differential Interferometric Synthetic Aperture Radar (DInSAR) analysis. Here we present the first results that provide insights into the tectonic framework of the earthquake. The ruptured fault trace delineated by DInSAR aligns with a distinct NW striking and NE dipping magnetic lineament within the Precambrian basement. The fault plane solution and numerical modeling indicate that the cause of the earthquake was 1.8 m displacement along a NW striking and NE dipping normal fault, rupturing at 21-24 km depth. We suggest that this seismic event was due to extensional reactivation of a crustal-scale Precambrian thrust splay within the Limpopo-Shashe orogenic belt

The transitioning experiences of internationally-educated nurses into a Canadian health care system: A focused ethnography

<p>Abstract</p> <p>Background</p> <p>Beyond well-documented credentialing issues, internationally-educated nurses (IENs) may need considerable support in transitioning into new social and health care environments. This study was undertaken to gain an understanding of transitioning experiences of IENs upon relocation to Canada, while creating policy and practice recommendations applicable globally for improving the quality of transitioning and the retention of IENs.</p> <p>Methods</p> <p>A focused ethnography of newly-recruited IENs was conducted, using individual semi-structured interviews at both one-to-three months (Phase 1) and nine-to-twelve months post-relocation (Phase 2). A purposive sample of IENs was recruited during their orientation at a local college, to a health authority within western Canada which had recruited them for employment throughout the region. The interviews were recorded and transcribed, and data was managed using qualitative analytical software. Data analysis was informed by Roper and Shapira's framework for focused ethnography.</p> <p>Results</p> <p>Twenty three IENs consented to participate in 31 interviews. All IENs which indicated interest during their orientation sessions consented to the interviews, yet 14 did not complete the Phase 2 interview due to reorganization of health services and relocation. The ethno-culturally diverse group had an average age of 36.4 years, were primarily educated to first degree level or higher, and were largely (under) employed as "Graduate Nurses". Many IENs reported negative experiences related to their work contract and overall support upon arrival. There were striking differences in nursing practice and some experiences of perceived discrimination. The primary area of discontentment was the apparent communication breakdown at the recruitment stage with subsequent discrepancy in expected professional role and financial reimbursement.</p> <p>Conclusions</p> <p>Explicit and clear communication is needed between employers and recruitment agencies to avoid employment contract misunderstandings and to enable clear interpretation of the credentialing processes. Pre-arrival orientation of IENs including health care communications should be encouraged and supported by the recruiting institution. Moreover, employers should provide more structured and comprehensive workplace orientation to IENs with consistent preceptorship. Similar to findings of many other studies, diversity should be valued and incorporated into the professional culture by nurse managers.</p

Gender-related power differences, beliefs and reactions towards people living with HIV/AIDS: an urban study in Nigeria

<p>Abstract</p> <p>Background</p> <p>Although there are an increasing number of studies on HIV-related stigma in Nigeria, very little research has focused on how power differences based on gender perpetuate the stigmatization of people living with HIV/AIDS (PLWHA) and how these gender differences affect the care that PLWHA receive in health care institutions. We explore gender-related beliefs and reactions of society, including health care professionals (HCPs), with regard to PLWHA, using Connell's theoretical framework of gender and power (1987). With Connell's structural theory of gender and power (financial inequality, authority and structure of social norms), we can describe gender differences in stigmatization of PLWHA.</p> <p>Method</p> <p>We conducted in-depth semi-structured interviews, lasting 60 to 90 minutes, with 100 persons (40 members of the general public, 40 HCPs and 20 PLWHA) in Port Harcourt, Nigeria. The interviews were tape-recorded and transcribed verbatim. The Nvivo 7 computer package was used to analyze the data.</p> <p>Results</p> <p>There are similarities and differences between the general public and HCPs towards PLWHA in gender-related beliefs and reactions. For instance, although association with promiscuity and power differences were commonly acknowledged in the different groups, there are differences in how these reactions are shown; such as HCPs asking the female PLWHA to inform their partners to ensure payment of hospital bills. Women with HIV/AIDS in particular are therefore in a disadvantaged position with regard to the care they receive.</p> <p>Conclusion</p> <p>Despite the fact that men and women with HIV/AIDS suffer the same illness, clear disparities are apparent in the negative reaction women and men living with HIV/AIDS experience in society. We show that women's generally low status in society contributes to the extreme negative reactions to which female PLWHA are subject. The government should create policies aimed at reducing the power differences in family, society and health care systems, which would be important to decrease the gender-related differences in stigma experienced by PLWHA. Interventions should be directed at the prevailing societal norms through appropriate legislation and advocacy at grassroots level with the support of men to counter laws that put women in a disadvantaged position. Furthermore, development of a policy that encourages equality in access to health care for all patients with HIV/AIDS by applying the same conditions to both men and women in health care institutions is recommended. There is a need to protect women's rights through implementing support policies, including paying attention to gender in the training of HCPs.</p

Prevalence and Prognostic Features of ECG Abnormalities in Acute Stroke: Findings From the SIREN Study Among Africans

Background Africa has a growing burden of stroke with associated high morbidity and a 3-year fatality rate of 84%. Cardiac disease contributes to stroke occurrence and outcomes, but the precise relationship of abnormalities as noted on a cheap and widely available test, the electrocardiogram (ECG), and acute stroke outcomes have not been previously characterized in Africans. Objectives The study assessed the prevalence and prognoses of various ECG abnormalities among African acute stroke patients encountered in a multisite, cross-national epidemiologic study. Methods We included 890 patients from Nigeria and Ghana with acute stroke who had 12-lead ECG recording within first 24 h of admission and stroke classified based on brain computed tomography scan or magnetic resonance imaging. Stroke severity at baseline was assessed using the Stroke Levity Scale (SLS), whereas 1-month outcome was assessed using the modified Rankin Scale (mRS). Results Patients\u27 mean age was 58.4 ± 13.4 years, 490 were men (55%) and 400 were women (45%), 65.5% had ischemic stroke, and 85.4% had at least 1 ECG abnormality. Women were significantly more likely to have atrial fibrillation, or left ventricular hypertrophy with or without strain pattern. Compared to ischemic stroke patients, hemorrhagic stroke patients were less likely to have atrial fibrillation (1.0% vs. 6.7%; p = 0.002), but more likely to have left ventricular hypertrophy (64.4% vs. 51.4%; p = 0.004). Odds of severe disability or death at 1 month were higher with severe stroke (AOR: 2.25; 95% confidence interval: 1.44 to 3.50), or atrial enlargement (AOR: 1.45; 95% confidence interval: 1.04 to 2.02). Conclusions About 4 in 5 acute stroke patients in this African cohort had evidence of a baseline ECG abnormality, but presence of any atrial enlargement was the only independent ECG predictor of death or disability