THE POSTULATION OFLEADERSHIP SKILLS AMONG HEADS OF BUSINESS EDUCATION IN OGUN STATEOWNEDUNIVERSITIES

The paper looks at how leadership skills can be improved among the heads of Business Education in the Ogun-state owned Universities.It was noted that Business Education in the study area is a sub-component unit ofdepartments therebydiscouraging intimate and direct relationship between the leader andsubordinates in the Institutions. The paper identifies fivepossible leadership styles of Business Education heads and discusses how leaders can improveon their skills in the universities. It is recommended that the leader should make the subordinates feel important and gain their willingness to work.The paper concludes that a quality leader makes both the task and the experience better. Not only does everyone start somewhere, but no one ever stops learning and expanding in experience and knowledge. The paper also concludes that a good leader must be proactive

THE POSTULATION OFLEADERSHIP SKILLS AMONG HEADS OF BUSINESS EDUCATION IN OGUN STATEOWNEDUNIVERSITIES

The paper looks at how leadership skills can be improved among the heads of Business Education in the Ogun-state owned Universities.It was noted that Business Education in the study area is a sub-component unit ofdepartments therebydiscouraging intimate and direct relationship between the leader andsubordinates in the Institutions. The paper identifies fivepossible leadership styles of Business Education heads and discusses how leaders can improveon their skills in the universities. It is recommended that the leader should make the subordinates feel important and gain their willingness to work.The paper concludes that a quality leader makes both the task and the experience better. Not only does everyone start somewhere, but no one ever stops learning and expanding in experience and knowledge. The paper also concludes that a good leader must be proactive

Public risk perception and behaviours towards COVID-19 during the first and second waves in Nigeria: a secondary data analysis

Objectives To describe changes in public risk perception and risky behaviours during the first wave (W1) and second wave (W2) of COVID-19 in Nigeria, associated factors and observed trend of the outbreak. Design A secondary data analysis of cross-sectional telephone-based surveys conducted during the W1 and W2 of COVID-19 in Nigeria. Setting Nigeria. Participants Data from participants randomly selected from all states in Nigeria. Primary outcome Risk perception for COVID-19 infection categorised as risk perceived and risk not perceived. Secondary outcome Compliance to public health and social measures (PHSMs) categorised as compliant; noncompliant and indifferent. Analysis Comparison of frequencies during both waves using χ2 statistic to test for associations. Univariate and multivariate logistic regression analyses helped estimate the unadjusted and adjusted odds of risk perception of oneself contracting COVID-19. Level of statistical significance was set at p<0.05. Results Triangulated datasets had a total of 6401 respondents, majority (49.5%) aged 25–35 years. Overall, 55.4% and 56.1% perceived themselves to be at risk of COVID-19 infection during the W1 and W2, respectively. A higher proportion of males than females perceived themselves to be at risk during the W1 (60.3% vs 50.3%, p<0.001) and the W2 (58.3% vs 52.6%, p<0.05). Residing in the south-west was associated with not perceiving oneself at risk of COVID-19 infection (W1—AOdds Ratio (AOR) 0.28; 95%CI 0.20 to 0.40; W2—AOR 0.71; 95%CI 0.52 to 0.97). There was significant increase in non-compliance to PHSMs in the W2 compared with W1. Non-compliance rate was higher among individuals who perceived themselves not to be at risk of getting infected (p<0.001). Conclusion Risk communication and community engagement geared towards increasing risk perception of COVID-19 should be implemented, particularly among the identified population groups. This could increase adherence to PHSMs and potentially reduce the burden of COVID-19 in Nigeri

Robotic First Rib Resection in Thoracic Outlet Syndrome: A Systematic Review of Current Literature

Thoracic outlet syndrome (TOS) involves the compression of neurovascular structures in the thoracic outlet. TOS subtypes, including neurogenic (nTOS), venous (vTOS), and arterial (aTOS) are characterized by distinct clinical presentations and diagnostic considerations. This review explores the incidence, diagnostic challenges, and management of TOS with a focus on the innovative approach of Robotic First Rib Resection (R-FRR). Traditional management of TOS includes conservative measures and surgical interventions, with various open surgical approaches carrying risks of complications. R-FRR, a minimally invasive technique, offers advantages such as improved exposure, reduced injury risk to neurovascular structures, and shorter hospital stays. A comprehensive literature review was conducted to assess the outcomes of R-FRR for TOS. Data from 12 selected studies involving 397 patients with nTOS, vTOS, and aTOS were reviewed. The results indicate that R-FRR is associated with favorable intraoperative outcomes including minimal blood loss and low conversion rates to traditional approaches. Postoperatively, patients experienced decreased pain, improved function, and low complication rates. These findings support R-FRR as a safe and effective option for medically refractory TOS

What Are the Contextual Enablers and Impacts of Using Digital Technology to Extend Maternal and Child Health Services to Rural Areas? Findings of a Qualitative Study From Nigeria

Background: Strengthening health systems to improve access to maternity services remains challenging for Nigeria due partly to weak and irregular in-service training and deficient data management. This paper reports the implementation of digital health tools for video training (VTR) of health workers and digitization of health data at scale, supported by satellite communications (SatCom) technology and existing 3G mobile networks. Objective: To understand whether, and under what circumstances using digital interventions to extend maternal, newborn and child health (MNCH) services to remote areas of Nigeria improved standards of healthcare delivery. Methods: From March 2017 to March 2019, VTR and data digitization interventions were delivered in 126 facilities across three states of Nigeria. Data collection combined documents review with 294 semi-structured interviews of stakeholders across four phases (baseline, midline, endline, and 12-months post-project closedown) to assess acceptability and impacts of digital interventions. Data was analyzed using a framework approach, drawing on a modified Technology Acceptance Model to identify factors that shaped technology adoption and use. Results: Analysis of documents and interview transcripts revealed that a supportive policy environment, and track record of private-public partnerships facilitated adoption of technology. The determinants of technology acceptance among health workers included ease of use, perceived usefulness, and prior familiarity with technology. Perceptions of impact suggested that at the micro (individual) level, repeated engagement with clinical videos increased staff knowledge, motivation and confidence to perform healthcare roles. At meso (organizational) level, better-trained staff felt supported and empowered to provide respectful healthcare and improved management of obstetric complications, triggering increased use of MNCH services. The macro level saw greater use of reliable and accurate data for policymaking. Conclusions: Simultaneous and sustained implementation of VTR and data digitization at scale enabled through SatCom and 3G mobile networks are feasible approaches for supporting improvements in staff confidence and motivation and reported MNCH practices. By identifying mechanisms of impact of digital interventions on micro, meso, and macro levels of the health system, the study extends the evidence base for effectiveness of digital health and theoretical underpinnings to guide further technology use for improving MNCH services in low resource settings. Trial Registration: ISRCTN32105372

Impact of using eHealth tools to extend health services to rural areas of Nigeria: protocol for a mixed-method, non-randomised cluster trial

Introduction: eHealth solutions that use internet and related technologies to deliver and enhance health services and information are emerging as novel approaches to support healthcare delivery in sub-Saharan Africa. Using digital technology in this way can support cost-effectiveness of care delivery and extend the reach of services to remote locations. Despite the burgeoning literature on eHealth approaches, little is known about the effectiveness of eHealth tools for improving the quality and efficiency of health systems functions or client outcomes in resource-limited countries. eHealth tools including satellite communications are currently being implemented at scale, to extend health services to rural areas of Nigeria, in Ondo and Kano States and the Federal Capital Territory. This paper shares the protocol for a 2-year project (‘EXTEND’) that aims to evaluate the impact of eHealth tools on health system functions and health outcomes. Methodology and analysis: This multisite, mixed-method evaluation includes a non-randomised, cluster trial design. The study comprises three phases—baseline, midline and endline evaluations—that involve: (1) process evaluation of video training and digitisation of health data interventions; (2) evaluation of contextual influences on the implementation of interventions; and (3) impact evaluation of results of the project. A convergent mixed-method model will be adopted to allow integration of quantitative and qualitative findings to achieve study objectives. Multiple quantitative and qualitative datasets will be repeatedly analysed and triangulated to facilitate better understanding of impact of eHealth tools on health worker knowledge, quality and efficiency of health systems and client outcomes. Ethics and dissemination: Ethics approvals were obtained from the University of Leeds and three States’ Ministries of Health in Nigeria. All data collected for this study will be anonymised and reports will not contain information that could identify respondents. Study findings will be presented to Ministries of Health at scientific conferences and published in peer-reviewed journals. Trial registration number: ISRCTN32105372; Pre-results

Host range and some properties of groundnut rosette virus

Two isolates of groundnut rosette virus from East Africa (GRVE1 and GRVE2) and from West Africa (GRVW1 and GRVW2) were transmitted by Aphis craccivora obtained from West Africa. A third isolate from West Africa (GRVW3) was not transmitted by A. craccivora from three widely separated sources. GRVW1, GRVW2 and GRVW3 caused leaf‐symptoms in groundnut of a mosaic pattern in light and dark green. GRVE1 and GRVE2 caused chlorosis or chlorosis and leaf distortion as well as mosaic symptoms. Groundnut plants with GRVW1 could not be infected by means of aphids with GRVE1, and GRVE1 gave similar protection against GRVW1, which suggests that they are strains of the same virus. All isolates were transmissible manually from groundnut to groundnut (Arachis hypogea), Trifolium incarnatum and T. repens, and caused systemic infection. Inoculated Nicotiana clevelandii and N. rustica developed symptoms but virus could not be recovered from them. Chenopodium amaranticolor, C. hybridum and C. quinoa showed local lesions on inoculated leaves. Virus could be acquired by aphids from groundnut or Trifolium repens infected by means of aphids, but not from those infected by manual inoculation. Virus could not be recovered from T. incarnatum manually or by aphids, but was transmitted by cleft‐grafting from clover to groundnut. Saps extracted in borax buffer plus zinc sulphate at pH 9 from plants infected with GRVW1 and GRVE1 remained infective at 18° C. for 1 week, and at — 20° C. for up to 4 weeks. Virus could be recovered from frozen leaves. Buffered saps lost infectivity when heated above 50° C. for 10 min.; most were still infective when diluted 1/10 and some at 1/100. Electron micrographs of partially purified preparations contained spherical particles 25–28 mμ in diameter. There were usually only about five per microscope field and they resembled those of some other viruses