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February 2020

Background: The main objective of this paper is to explore strategies of effective U.S. banks leaders used to identify efficiency changes during a financial crisis. Methods :Data consisted of semi structured interviews. All interpretations of the data were subjected to member checking to ensure trustworthiness of interpretations. Results: Based on the methodological triangulation of the data collected, 3 of the main themes that emerged were excellent management skills and strong decision making, staff education and reduction, and expenditure reduction.

The financial activity represents the set of elections or economic decisions that materialize in the realization of income and public expenses.

Much of gender inequalities in society are related to empowerment issues. Measuring women empowerment has become relevant indicators to measure half of the dimension of gender inequalities. The primary aim of this study is to use quantitative data to measure women empowerment to understand trends of gender inequities in the SNNPRS. The study used data collected by governmental and international organizations. The findings indicate that women empowerment in field of politics, social and economy have been substantially rewarding.

The indication of economic development of a nation, Real Estate is having an important role to play. In case the real estate business is in boom that result in the development of economy. Hence it is one of the important and sensitive sector having wider impact in many sectors of the economy, it should be regulated in any economy.

This study was designed to investigate the challenges and opportunities of women in self-employed jobs. A qualitative, descriptive study was employed by randomly selecting 97 women and three key informants from the three kifle-ketemas of Sodo Town. A survey questionnaire and checklists were used for sample respondents and focus group discussions, respectively. To analyze the quantitative data that was gathered through a questionnaire, descriptive statistics such as mean, frequency and percentages were used. The qualitative data was analyzed through case analysis and content analysis.

This research was a study on Filipino students enrolled in German Language for approximately three (3) months within a semester with regard to their translation skills (German-English), views on code switching, and their English speaking proficiency. Descriptive research method was used in which the first set of respondents composed of 76 students were given a Vocabulary Knowledge Scale (VKS) and a Translation Skills (TS) tests before and after watching two German-subtitled English music videos. Results showed that respondents’ scores had improved after watching the subtitled music videos.

The imperative to revisit the effects of public debt management strategy in Nigeria is necessitated by the fact that the country is currently under severe revenue pressure arising from her volatile macroeconomic environment and uncertain global economic outlook. This is due to the structural subsidence of the international price of crude oil. Debt sustainability has for decades been a topical issue in Nigeria because of the recurring and divergent issue on the debt problem and the resultant challenges and contradictions on Nigeria's development.

With the flagship success of m‐Pesa in East Africa financial services via mobile devices has become an important tool to facilitate the financial inclusion of the previously unbanked population in Zambia particularly. Attempts to provide a landscape of academic research findings at the intersection of mobile financial services, financial inclusion, and development have been rather scant.

Background: Prenatal care needs to be focussed to reduce the adverse effects in pregnancy and improve the outcome. Prepregnancy obesity might be a risk factor for hypertensive disorder of pregnancy which causes fetal and maternal morbidity. Objective: To evaluate the relationship of prepregnancy body mass index (BMI) with the occurrence of hypertensive disorders of pregnancy (HDP). Method: The descriptive type of observational study was done at a tertiary care centre . Women were included in the study at their first visit before six weeks.

Background: Severe maternal anaemia is associated with negative impact on the iron indices of the newborn besides complications like growth retardation or fetal distress. Objectives: To correlate the degree of maternal anaemia with iron indices of the newborn. Method:The descriptive type of observational study was done at a tertiary care centre . Anaemic and non anaemic pregnant women admitted in labor room after 24 weeks gestation for delivery were selected. Delivery was conducted and cord blood sample of the neonate was taken for iron indices study.

Background: Open heart surgery patients usually develop pulmonary complications such as atelectasis, pneumoniain early postoperative period. Literature reported that to prevent or reduce these complications we can use Positive Expiratory Pressure (PEP) therapy techniques with Conventional Physiotherapy Treatment (CPT). Methods: The study design was Randomized Pilot Study. 20 patients included (n=20), 10 patients in each group, Control and Interventional group.

India is a developing country in the world, where industrialization and urbanization is growing at a very fast pace but there is a downside to increase the number of slums in urban areas. An urban residential area with large number of populations containing high number of closely packed, decrepit housing units in a situation of deteriorated or incomplete infrastructure, inhabited primarily by impoverished persons is called slums. There are several different reasons for formation and growth of slums in different parts of Indian city.

An observational study was conducted to assess the compliance to the use of surgical safety checklist in elective surgeries at JIPMER, Puducherry. Background: Surgical service is one of the fundamental health care services given in the health care system. Over 234 million operations performed annually worldwide and this yearly volume now exceeds that of childbirth. The surgical complications are a major cause of morbidity and mortality and pose a major financial burden to the patients and healthcare provider.

Molluscum contagiosum occurs worldwide. It is seen most commonly in children, but it may be found in persons of allages. It consists of a variable number of small, discrete, waxy, skin-colored, domeshaped papules, usually 2 to 5 mm in size. A 19 year old male patient presented to the ENT OPD with complaint of small nodule in the mucocutaneous junction of nasal septum for 6 month. Histopathology of excised nodule revealed hyperkeratosis, parakeratosis, acanthosis, elongation of rete ridges, ulcer formation and follicular plugging.

Dogs have been identified as the main reservoirs of Leishmania in many parts of the world and play a very important role in the maintenance of the parasite and its transmission to humans and other susceptible hosts. This study was conducted with objective of determining the seroprevalence of canine leishmaniasis in three selected Local Government Areas (Wamakko, Sokoto South and Kware) of Sokoto state, Nigeria. Blood samples were collected from 316 dogs and the separated sera were tested for Leishmania spp IgG antibodies using Indirect Enzyme Linked Immunosorbent Assay (ELISA).

There are several microorganisms that can cause lung lesions in patients infected by the human immunodeficiency virus (HIV) like Mycobacterium tuberculosis, Pneumocystis carinii or Staphylococcus aureus, among others. Rhodococcusequi is an emergent microorganism associated to opportunistic infections in immunocompromised individuals, especially in patients with Acquired Immune Deficiency Syndrome (AIDS). There is not an established regimen to treat this microorganism, neither the duration of it. This report describes a case of Rhodococcusequi lung infection in a HIV patient.

We examined 48 premature newborns with respiratory distress syndrome (RDS) and 20 healthy premature newborns. We determined the level of lactate and pyruvate in blood serum, as well as the activity of the Krebs cycle enzymes succinate dehydrogenase (SDH), α-glycerophosphate dehydrogenase (α-GPhDH) and lactate dehydrogenase (LDH) in peripheral blood lymphocytes using a quantitative cytochemical method by reaction with nitrofiolet tetrazolium.

Background and Purpose: Electrical stimulation has been used in clinical practice to accelerate wound healing for which positive results have been reported in clinical studies. The Purpose of the case report is to document the clinical effects of application of microcurrent stimulation in healing of pressure ulcer in a chronic bedridden patient.

Introduction: Peripheral intravenous catheter associated blood stream infections are a cause of nosocomial infections which can lead to substantial patient morbidity and increased health care costs. I took this study because more studies are only on central venous associated blood stream infections and PVC-BSI is submerged. Aim: To determine colonizing bacteria on peripheral intravenous catheter & their associated blood stream infections and to determine their antibiotic susceptibilities.

Objective: to analyze patients with renal failure and show the most encounter Complication in patients in our locality. Design: prospective study in US evaluation of patients with renal failure. Setting: the study was conducted in the radiological unit, Ibn Senate aching hospital, over the period from October 2005 – October 2006 Methods': all patients were examined by US (3.5 MHZ probe). Main result: A- 34 case (56.7%) male and 26 case (43.3%) female.

Severely resorbed ridges, narrowing of arches and increased interarch distance engender difficulties for prosthodontics. The severely resorbed maxillary and mandibular edentulous arches that are narrow and constricted with increased interarch space provide decreased support, retention and stability. Increased inter‑ridge distance often creates a clinical problem due to heavy‑weighted maxillary prosthesis and solution for the same is hollow maxillary denture. To fabricate a hollow denture many materials are used ranging from sugar, salt, catheter and putty.

The solitary plasmocytoma is a rare entity corresponding to a proliferation of monoclonal plasma cells, isolated or accompanied by multiple myeloma, bone or extra-bone seat. The multiple localization of plasmocytomas is even rarer. It represents less than 5% of all plasma cell neoplasias. The diagnosis is based on the discovery of a localized tumor, made up of monoclonal plasma cells cytologically identical to those of multiple myeloma.

This significant industry is vulnerable to extreme climate occurrences owing to majority of its action being complete by substantial work done by individuals. Although a number of researches have been done over the influences of extreme weather happenings, for example, flooding, rain and high temperature controlled study has been directed on the influences of rainfall and hot climate environments.

The Cognitive Radio Network (CRN) communication paradigm in 5G networks provides an effective infrastructure to enable different smart city applications like public safety applications. In future smart cities, dense deployment of wireless networks like Wi-Fi, WSN and MANET etc., can be integrated with 5G networks using CRN communication. CRN communication enables direct communication between nearby User Equipment using cellular or ad-hoc links, thereby improving the spectrum utilization, system throughput, and energy efficiency of the network.

The ionospheric Slab thickness is a very important parameter for the study of the neutral temperature and electron density profile; it can be related directly to the scale height of the ionizable constituents. The variability of ionospheric slab thickness at high latitudes during the high solar activity period 2005, we have selected a high latitude station Casey (66.30 S, 110.60 E) in the southern polar region. The results show that the diurnal variability of slab thickness shows that the night time values are higher than the day time values.

Heavy metals are natural constituents of the Earth's crust and trace amounts are always present in biological materials. They are defined more specifically as electropositive elements having a density greater than five. Through consumption of vegetable crops, dietary exposure to several heavy metals including Nickel (Ni), Cadmium (Cd), Chromium (Cr), Cobalt (Co), Lead (Pb), Arsenic (As), Mercury (Hg), Zinc(Zn) and Copper (Cu), has been recognized as a risk to human health.

The study focused on the evaluation of the implementation of senior secondary schools mathematics curriculum in Abakaliki education zone of Ebonyi State. Four research questions are posed to guide the study, and three null hypotheses are formulated and tested at 95% confidential level. Evaluation research design was adopted in the study. The design was chosen because of the evaluative nature of the study.

Early stimulation is a set of means, techniques and activities that are used in children from birth to six years of age and in order to develop the ability to interact with their environment as well as promote health and individual well-being. Thus, the objective of the following communication is to inform the findings of implementing recreational activities as a strategy to improve sphincter control in early education students of a kindergarten in the city of San Francisco de Campeche.

The aim of this study of to review the relationship between Organizational Climate and Job Satisfaction as reported by different authors within the last 10 years. Seven different relationships are reviewed in this study. It begins by describing Organizational Climate and Employee Commitment, then continues with Organizational Design and Employee Commitment, Leadership Communication and Employee Commitment, Teamwork, Culture and Employee Commitment, Motivation and Job Satisfaction, Job Satisfaction and Employee Performance, and finally Organizational Commitment and Job Satisfaction.

With the growth of computer vision, digital image processing is necessary to provide a clear image to the user. In existing technique only improve detect the main components of an images of FERET data sets of different versions but In proposed research we are try to improve the detection of main components of an image and recognize it and also try to improve the accuracy and transparency of the various images of different versions.

A series of new thiazolidinones with barbituric acid scaffolds 5(a-j) were synthesized and evaluated for their antibacterial activity against Gram-positive bacteria (B. subtilis, B. sphaericus, S. aureus), Gram-negative bacteria (P. aeruginosa, K. aerogenes, C. violaceum) and also antifungal activity against C. albicans, A. fumigatus, T. rubrum and T. metagrophytes. The antibacterial activity of compounds containing 4-hydroxyphenyl (5c), 2,6-difluorophenyl (5g) and 4-hydroxy-3-methoxy- phenyl (5i) groups on thizolidionone ring showed considerable activity against tested bacterial strains.

New technologies and scientific knowledge are allowed scientists to explore nature in many ways which made new discoveries and inventions. Inventions and discoveries by Academics, Researchers, Professors, Doctors, Intellectuals, Specialists, Sages, Dons contributed to the development of universe and mankind. Nomadic man able to plan colonize mars and moon and trying to find God. The study is based on the frame work of explorative and meta-analysis of great eminent personalities who contributed to the Universe.

This reseach was conducted to contribute to the values of medicinal and aromatic plants of Cote d’Ivoire. As such, we carried out the phytochemical composition of essential oil from Enantia polycarpa and Clerodendrum polycephalum baker by gas chromatography coupled to mass spectroscopy (GC-MS), estimate the antioxidant activity per spectrophotometer and finally achieve some antimicrobial tests upon reference strain of the Swiss center in Cote d’Ivoire.

Purpose Objective: The study aims to examine the mediating effects of product returns on the relationship between green capabilities and closed-loop supply chain adoption. Methodology: The collected data included 203 responses. Purposive sampling technique was used. This study targets the supply chain professionals of Karachi, Pakistan. Findings: The results showed that integration capability has significantly positive impact on adoption of CLSC activities (and product returns.

Traditionally, mangrove plants have been used medicinally in diverse cases like to treat infections, relief pain and purify blood and as antioxidant. Avicennia officinalis is a folk medicinal plant used mainly against rheumatism, paralysis, asthma, snake-bites, skin disease, hepatitis, leprosy and ulcer. Phytochemical constituents from Avicennia officinalis leaf extracts were determined qualitatively.

Low land productivity due to land degradation in the form of soil erosion is one of the leading challenges in improving the performance of smallholder farming systems in Ethiopia. This study attempted to assess the factors affecting the adoption of sustainable land management practices and to evaluate the effect of sustainable land management practices on household income in the study area. Primary data were collected through interview schedule and checklists were used for focus group discussions and key informants interviews.

Background: India leads the world with largest number of earning the dubious distinction of being termed the “Diabetes capital of the world”. A pre experimental study was conducted to assess the effectiveness of structured teaching program on knowledge regarding selected self care practices among the Diabetic patients of a tertiary care hospital in Lucknow. Methodology: The subjects consisted of 30 patients suffering from DM type 2. Non probability purposive sampling using structured questionnaire was administered to the subjects to assess the effectiveness of structured teaching program.

El organismo internacional del Sistema de Naciones Unidas, en los sistemas de salud impulsa la utilización de la medicina tradicional, utilizados para prevenir, diagnosticar y eliminar los desequilibrios físicos, mentales y sociales, basados en experiencias y observaciones prácticas ancestrales en armonía con la naturaleza, tiene el propósito de prevenir y tratar enfermedades a través de la activación de las propias capacidades o recursos biológicos naturales con que cuenta nuestro organismo.

A weed survey was carried out during 2014 and 2015 main cropping seasons with in two agro-ecologies (Mid land and Low land) of Guji zone, Southern Oromia, to assess the distribution and importance of cereal crop weeds as well as to investigate the most dominant weed flora in cereal crops. For this survey, data was collected from four agro-ecologically representative districts where two districts were selected from each agro-ecology purposively. From each districts four Peasant associations were selected and totally, 80 fields were assessed during this survey.

This study was conducted with the aim of identifying the impacts of the Productive Safety Net Program (PSNP) on household food security, asset accumulation and annual income. The intervention areas of the project are in improving the overall livelihood of rural poor households. Even though the project has been implemented since 2005 in Ethiopia, its impact on food security, asset accumulations, and household income have not well studied. Both primary and secondary data were collected and analyzed. The primary data was collected from 154 PSNP beneficiaries and 174 non-beneficiaries.

Assessor/Auditor key responsibility is assessment/ audit of testing & calibration laboratories, management system, manufacturing process, service, or documentation procedure has all the requirements for standardization and quality assurance. Assessors/auditors are appointed are responsible for the assessment/audit of the conformity assessment body. The assessors are appointed or hired by accredited body (AB) on regular basis or add assessors/auditors in panel.

The management of completely edentulous patients with xerostomia with sunken cheek, pose a significant challenge to the prosthodontists. The overall goal of rehabilitating such individuals is focused on improving phonetics, esthetics, proper occlusion and masticatory function. Salivary reservoirs are often incorporated in the dentures of xerostomic patients to hold and dispense the artificial saliva. The major disadvantage of the conventional salivary reservoir is the reduction of the tongue space.

Motivation is an internal process that makes a person move towards a goal. Raising the motivation and status of teachers as well as retaining high-quality teachers is therefore vital to improving education. Motivation refers to the resolution of achieving a goal, marked by goal directed behaviour. When we refer to someone being motivated, it implies that the individual is trying hard to perpetrate a certain task. However, motivation alone can’t suffice to complete that task with utmost efficiency.

Anomalies of the urinary tract rank third to fourth among congenital malformations and are most frequently associated with other congenital malformations elsewhere in the body. This study is intended to shed light on the role of Ultrasound in the diagnosis of most of these diseases either alone or sometimes in conjuction with other tools of investigations in different age groups and in utero as “ prenatal diagnosis”.

A prospective study was carried out on 64 children admitted with accidental kerosene ingestion in AL- Khansa teaching hospital for children in Mosul in the period from the first of July 1999 to the 31 1st. of December 1999. Most children (73.4%) were one to three years. And male to female ratio was 3:1. The most common presenting symptoms were cough 55 (85.9%), dyspnea 51 (79.7%), vomiting 41(64%), and drowsiness in 13 (20.3%). Fever appeared Later on (more than 6hours after ingestion of kerosene) in 32 (50%) of patients and continued for 2-8 days.

Verrucous carcinoma (VC) is a variant of well differentiated squamous cell carcinoma with low malignant potential. The most common site of occurrence was the buccal mucosa followed by the mandibular alveolar ridge and gingiva. The treatment of oral verrucous carcinoma remains controversial. Whenever possible surgically, total excision and skin or mucosal grafting is recommended. Here we present a case report of oral verrucous carcinoma which was treated with wide local excision followed by reconstruction with split thickness skin graft.

Atlantia racemosa (Rutaceae) is a small tree or shrub, differing from the other species of Atlantia and it is always unarmed, found in the lower mountain regions of Ceylon, in Southern India and in the western peninsula from the Concan to Travancore. Plant fruit pulp paste works as an antidote to Cobra bite while the leaf juice is taken internally to treat acidity. Leaf decoction is externally applied on itching skin. Seed oil of this plant is used to cure paralysis and chronic rheumatism.

Information Security, as the word says, has always meant securing assets and providing controls and procedures to resist damage or potentialimpact on the system(s) under consideration. This definition as isunderstood in security circles has various potential inferences and istypically understood in the defensive sense. Protect the network, protect the server, protect the logs, the list never ends.

Background: Assessment of clinical competence of safety polices and procedure great importance when evaluating the expected safety outcomes in nursing college. All faculty, staff, and students must know and practice the safety guidelines at all times while using the labs. Failure to adhere to general guidelines can result in disciplinary action. Aims: Assess and Establish Laboratories policies and procedures to provide instructions in maintaining safety for students, staff and faculty while using the nursing laboratory.

The Indian retail industry has come forth as one of the most dynamic and fast paced industries contributing 10 percent of the country*s GDP and 8 percent of its employment. India is Asia*s third and the fourth largest retail market globally offering massive investment opportunities. Organised retail in India has seen a continuous influx of players in to the market, but not all of them have tasted success yet because of factors like having initial investments that are required to break even with other companies.

A new spectrophotometric reagent 2-Hydroxy-1-napthaldehyde-orthoaminophenol has been synthesized and characterized. A very simple, ultra-sensitive, highly selective and non-extractive new spectrophotometric method for the simultaneous determination of arsenic (III) and arsenic (V) at nano-trace levels using 2-Hydroxy-1-napthaldehyde-orthoaminophenol (HNA-OAP)has been developed. HNA-OAP has been proposed as a new analytical reagent for the direct non-extractive spectrophotometric determination of arsenic (III&V).

The main aim of the study is to select a list of companies from the basic indices of NSE like Nifty50, Next50 and Small Cap 50, to create a portfolio of the companies with respect to the indices selected for the study which results in 3 different portfolios. Portfolio 1 represents 29 scrips selected from Nifty50, Portfolio 2 represents 30 scrips selected from the Next50 index, and Portfolio 3 represents 34 scrips selected from Small Cap index.

An edentulous smile might look appealing in an infant but its persistence is a serious cause of concern for the parents and the child. Loss of teeth will negatively affect the child's ability to chew, and may affect his or her self esteem. The management of tooth loss in children is distinct from that of adults as the children are in growing stage and the morphology of primary tooth is different from permanent. It has always been a challenge for pedodontist to come up with the best way to replace missing teeth. Mini implants is now used in pediatric dentistry for replacing missing teeth.

• Pheochromocytoma is a rare Paraurethral cysts are rarely encountered in urogynecologic practice. • There is no consensus on the diagnosis and treatment of paraurethral cysts. • We present our experience of 5 cases to describe the diagnosis and management of paraurethral cysts.

Prostate cancer invasion to the rectum mucosa as T4a disease is common scenario, but as rectal mass quite uncommon. Findings in the patient reported here emphasize the importance ofthe relationship between urinary and gastrointestinal symptoms in detecting prostatic neoplasms in older malepatients.

Pheochromocytoma is a rare catecholamine secreting tumor originating usually from adrenal medulla and produces signs and symptoms due excessive catecholamine secretion from tumor. A young male patient of 32 year age presented with febrile episodes, dullache on left upper quadrant of abdomen, episodic headache and weakness for last 2 months. Clinical suspicion of pheochromocytoma was confirmed by vitals monitoring and CT scan of abdomen. After having two weeks of preoperative preparation with alpha blocker and beta–blocker, open surgical removal of pheochromocytoma was done.

Endodontic-periodontal combined lesion is a clinical dilemma because, arriving at a differential diagnosis and deciding a prognosis is difficult. An untreated primary endodontic lesion can become secondarily involved with periodontal breakdown, which may clinically present with unusual signs and symptoms. This can delay the diagnosis and formulating the correct treatment. This case report describes the diagnosis and treatment protocol for an Endo-perio lesion of primary endodontic with secondary periodontal involvement.

Cysticercosis is infestation by the larval form of pork tapeworm, Taenia Solium. Humans acquire it by ingestion of contaminated water or uncooked pork. These larvae penetrate the gastric mucosa and are absorbed into the blood vessels or lymphatics and are distributed in the body. The most commonly affected system is the central nervous system leading to neurocysticercosis. Very rarely it can be deposited in muscles and cause symptoms. We present a rare case of cysticerci in the masseter, temporalis & pterygoid muscles of the left side leading to isolated myocysticercosis.

The purpose of this study was to assess inventory management practices in the case of manufacturing firms in Hawassa City. The study adopted a descriptive research design which allowed the collection of primary and secondary data through structured questionnaires and document review respectively. Purposive sampling approach was employed to identify fifty (50) employees directly involved in inventory management operations. The collected data was analysed with the aid of the Statistical Package for Social Sciences (SPSS) Version 23 and Microsoft Excel 2016 Software.

There has been always a strong debate between professionals of the practicing world of architecture and the educationalist and theorists in architecture about the importance of theory and its impact in practice as the young graduates find it very difficult to readily adopt to the world of practice even after professionally qualified as architects. In this regard research is being conducted and trying to identify the factors leading to this Gap. we are trying to “Rationale of Application of Theory Inputs in Architectural Practice”.

All healthcare urinary tract infections are caused by instrumentation of urinary tract. Catheter associated urinary tract infection (CAUTI) has been associated with increased morbidity, mortality, hospital cost and length of stay. It is usually caused by multidrug resistant strains; require higher antibiotics and these strains may spread to other patients. Duration of catheterization is directly related to the development of bacteriuria.

Introduction: A Dental implant placement is a surgical procedure in which component of implant interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture. A successful implant placement in aesthetic zone is depends on the health of the person receiving the treatment, drugs which affect the chances of osseointegration, density of bone and the health of the tissues in the mouth. Implant placement in the anterior maxilla remains a challenge to surgeons because of functional and aesthetic results.

Background: The whole of Government is a response to the symptoms of structural devolution, disaggregation, fragmentation and single-purpose organization as a result of the implementation of the New Public Management. The whole of government implemented in government agencies in Indonesia began to be carried out in stages. This has the aim so that the performance can improve the quality of public services, more effectively and efficiently.

Peace education is a fundamental component of peace building. With the experiences of ruptured peace and conflict recovery in some areas peace education becomes an imperative in Nigeria. All segments of the society would gain from peace education where values, moral rectitude, tolerance and method of resolving any dispute peacefully and in a spirit of respect for human dignity and non-discrimination are inculcated in the minds of the citizenry. The study adopts the Theory of Learning to Abolish War Model of Reardon, B. and Cabezudo, A.

Assessor/Auditor key responsibility is assessment/ audit of testing & calibration laboratories, management system, manufacturing process, service, or documentation procedure has all the requirements for standardization and quality assurance. Assessors/auditors are responsible for the assessment/audit of the conformity assessment body. The assessors are appointed or hired by accredited body (AB) on regular basis or add assessors/auditors in panel.

English language has emerged as the most sought after second language in the world. Mother tongue is learnt quite automatically, whereas a second language is learnt consciously. Learning a second language is a painful process and it requires a lot of practice. A second language is learnt, mainly to use the target language in the society. As stated in the theories on language acquisition by Noamchomsky and Stephen Krashen, second language acquisition demands a comprehensible input for its proficiency.

Okun found that amid the period 1947-1957 remained a reverse correlation between economic progressas well as unemployment within US. Okun assessed that a 3 per cent increment in genuine GNP would lead to a one per cent diminish within the unemployment rate. Here the impartial think about stands to see the link of economic growth and joblessness rate from 1984-2019. The strategy which connected on this ponder is amended Dickey-Fuller test and auto-regressive distributed lag model.

Today the competition for scarce water resources in many places is intense. Managing water as an economic good helps to achieve efficient and equitable use, and ensuring sustainability of water resources. This paper focused on investigating the water production and pricing in Rwanda to improve clean water accessibility. The findings showed that the amount of water produced increased from 38818228 cubic meters in 2012 to 43558705 cubic meters in 2016. The change in number of customers with water connections in the same period has risen from 118393 customers to 175646 customers.

The study brought into focus the effect of population growth on Housing in Minna metropolis. Questionnaires were used for data collection in the six (6) randomly selected areas - Bosso, Maitumbi, and Tunga (High population density areas) G.R.A, Bosso Estate and Tunga Low-cost (Low population density areas). The statistical method employed in analyzing the data was linear regression analysis.

Under-nutrition remains one of the most common causes of morbidity and mortality among children globally, which is directly or indirectly related to knowledge and practice of the mothers regarding child feeding. Haldwani region is also having more undernourished children in the Uttarakhand state. Therefore, the present study was performed to assess the knowledge, practice, and attitude of the mothers regarding weaning which is the major factor for nutritional deficiency in the infants.

Growth and mortality of Oreochromis niloticus of the Kafue Floodplain fishery was investigated between September, 2015 and November, 2015. Three stations that represent the major ecological habitats of the Kafue Floodplain fishery were selected. These were: Kafue Road Bridge (swamp), Namalyo (lagoon) and Kakuzu (riverine). Fish specimens were collected using gillnets that were set in the evening and hauled the next morning. Length measurements were taken from each fish specimen using a fish measuring board. Weight was measured using and electronic balance to the nearest one gramme.

Large oro-facial defects causes serious functional as well as cosmetic deformities. Acceptable cosmetic results usually can be obtained with a facial prosthesis. This article describes prosthetic rehabilitation of a 41 year-old male having a left orbital defect with heat cure acrylic resin material. The resultant facial prosthesis was structurally durable and aesthetically acceptable with satisfactory retention.

Background: Non-fermenting gram negative bacilli are a group of aerobic, non-spore forming bacilli. They are ubiquitous in nature, inhabiting soil, water and also present in the hospital environment. NFGNB accounts for nearly 12-16% of all bacterial isolates in a clinical microbiology laboratory. The important members are Pseudomonas aeruginosa, Acinetobacter baumannii. They cause various infections such as septicaemia, pneumonia, urinary tract infection, surgical site infections and meningitis.

The incidence of ABO & Rh blood types varies among different population groups. The knowledge of the distribution of ABO & Rh blood groups is essential for effective management of blood banks, transfusion purposes, in population genetic study, transplantation, hemolytic disease & resolving certain medico–legal issues, of disputed parentage. Our aim was to determine the distribution of different blood groups in girl students in Y.C.W. M. Warananagar. A study was conducted at Zoology Department laboratory in Y.C.Warana Mahavidylaya over a period of two years – 2016 and 2017.

Introduction: Damage-control surgery is abbreviated surgery performed to control a patient’s life-threatening illness. It minimizes the time during which the patient is exposed to coagulopathic stimuli, hypothermia and acidosis in the operating room in favour of returning the patient to the intensive care unit as expeditiously as possible for a full resuscitation.

Background: Diabetic nephropathy is the leading cause of chronic kidney disease (CKD). However, the degree of albuminuria is not necessarily linked to disease progression in patients with DN. Several studies that have explored the relationship between systemic inflammation and vascular disease. Neutrophil-Lymphocyte ratio (NLR) may be considered as a marker of chronic inflammation.

This review paper was initiated to review the Ethiopia’s response to the existing climate variability and change. Climate variability and change have been occurring in Ethiopia. Evidences showed that there is an increase in temperature and spatial and temporal rainfall variability has been increasing. The changing climate has led to recurrent droughts and famines, flooding, expansion of desertification, loss of wetlands, loss of biodiversity, decline in agricultural production and productivity. Ethiopia had shown many efforts to combat climate change in the different parts of the country.

International research associates transformational leadership applied by the school leader with the effective teaching of the teacher. Differentiated teaching is considered a holistic way of approaching the learning process and a vital component of effective teaching. The purpose of the present study is to investigate whether Greek teachers differentiate their teaching according to their students' interests and needs and whether transformational leadership influences this implementation.

“Information technology (IT) is defined as capabilities offered to organizations by computers, software applications, and telecommunications to deliver data, information, and knowledge to individuals and processes.” IT has made a tremendous impact on how we carry out our personal and professional work effectively and efficiently. IT is promising in many ways as compared to traditional methods used in clinical care, education, research and can also provide many innovative approaches to overcome barriers. IT will always be exciting and one will adapt to this ever-changing landscape.

2 year old child presented with acute onset respiratory distress after ingestion of multiple Dapsone tablets accidentally. Relevant blood investigations revealed methemoglobinemia. Child responded with freshly prepared Inj. Methylene Blue and discharged after 7 days.

Background: The aim of this study was to compare the conventional method of incision and drainage with an alternative method of the incision and drainage with primary closure with or without drain. Materials and Methods: A total of 140 patients admitted to our hospital were randomly divided into two groups Group A: -includes 50% patients of total sample size in study by conventional method of incision and drainage only. Group B: -includes 50% patients of total sample size in incision and drainage with primary closure with or without drain.

Background: Introduction of IMRT techniques for the treatment of Head and Neck carcinomas (HNSCC) has given better dose conformity and sparing of the organs at risk (OARs). Disadvantage of fixed angle IMRT is longer radiation delivery time and increased patient exposure to low dose radiation. Recently, VMAT has been developed which enables IMRT-like dose distributions to be delivered using a single rotation of the gantry and thereby reducing the treatment time.

Primary thyroid mucosa associated lymphoid tissue(MALT) lymphoma is a rare extranodal Non Hodgkins Lymphoma (NHL)of the thyroid. It is most common in females, has an indolent course and mostly asymptomatic making the early diagnosis more challenging. There are no optimal guidelines for the management of thyroid MALT oma. We are presenting a case of unresectablethyroid MAL Toma treated with definitive radiotherapy. Patient is under complete response since 24 months of definitive radiotherapy.

Objective: The objective of our study was to analyze fetal prognosis during delivery from below in the presence of a cord circular in a country with bad medical care. Methodology: This was a cross-sectional study with descriptive and analytical aims relating to delivery from below with an umbilical cord circular. The study covered a period of 3 years from January 2016 to December 2018 and took place at the Teaching Hospital of Cocody. Results: the frequency of deliveries from below with a circular cord was 3.3%.

Mixed dentition is the most crucial period because early treatment would correct the occlusion as well as ensure normal development of teeth and jaws. Interceptive procedures not only simplify but also eliminate the need for the later treatment procedures. A most important advantage of early interception is that the majority of the malocclusion can be corrected non surgically and without the extraction of permanent teeth. This article presents three cases of correction of malposed teeth in the mixed dentition period using a 2x4 appliance.

Field experiment was carried out at Adola District during the 2018 main cropping season to investigate the effect of blended NPS and N fertilizers rates on yield components and yield of teff and to identify the economically feasible rates of blended NPS and N fertilizers for high yield of teff production in the study area. The treatments consisted of factorial combinations of four levels of blended NPS (0, 50, 100 and 150 kg NPS ha-1) and four levels of nitrogen (0, 23, 46 and 69 kg N ha-1) fertilizer rates.

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