Nursing documentation is a crucial part of the nursing process as it the essential way of communication within the health care team regarding patient care. Nurses’ knowledge about documentation is important as it a legal requirement and main responsibility of nursing staff. Objectives: To assess the nurse’s knowledge and recording system nursing documentation among staff nurses and to assess level of knowledge nursing documentation and recording systems of nursing care among staff nurses. Methodology: Quantitative approach with Descriptive design was used for the study. Convenience sampling technique was used to assess level of knowledge regarding system nursing documentation. Results: The study results show that the overall knowledge among 50 Staff nurses 12(24%) had moderately adequate knowledge, 31(62%) had adequate knowledge and only 07(14%) had inadequate knowledge regarding legal and ethical aspects among maternity staff nurses.

This research investigating the implementation of constructivist teaching techniques, challenges and opportunities of an English foreign language teacher in Beseka Secondary School, grade nine writing class in focus. The nature of the study can be descriptive study. The population of this study consisted the entire English foreign language teacher and grade nine student in regular programmes in all the tertiary institutions in Akaki Kality Sub city in Addis Ababa in the 2016/2017 academic session, which were 720 in number. The sample size for the study was 84, which is 10% of the entire population. The major research tool used to gather data was observation. The second tool is semi structured interviews for teachers. The third one was questionnaires administered to teachers and students who were selected randomly from grade nine students. After the data had been collected the responses to the questionnaire part and information obtained through observation and recordings were counted and tallied then, descriptive statistics were employed in analyzing the quantitative data while content analysis was applied in analyzing the qualitative data. The collected raw data was analyzed using mean score for quantitative method of data analysis and qualitatively interpretation to ensure the reliability and validity of the collected data. Findings revealed the challenges and opportunities of an English foreign language teacher in Beseka secondary school, grade nine writing class face and also indicated that these challenges negatively affect the academic performance of these students. Based on the findings, some recommendations were made which includes that students must have the behavior of cooperating, helping one another to draft or revise what they write and so on. Rather than total dependency on those whom they think are better than them. Also, teacher should show concern by informing students how and when assessments will be and make study materials/resources readily available so as to enable students prepare adequately for improved academic performance.

Background: Oral diseases are the most common chronic diseases having considerable impact on quality of life. Quality of life is the final goal in every child’s development. Aim: The aim of the present study was to assess the oral health related quality of life (OHRQoL) of 12- 15 year old School going children of Moradabad City. Material and method: Study was conducted on 392, 12- 15 years old school going children in Moradabad city. The clinical examination was done by using WHO Oral Health Assessment Form for Children 2013. A child perception questionnaire by Jokovic et al was filled by the students and personal interview of parents was done to collect data regarding their oral health related quality of life. Result: Out of 392 subjects examined 207 (52.8%) were caries free whereas 185 (42.7%) subjects showed dental caries. Mean total DMFT was recorded as 1.14 ±1.70. Mean total CPQ score at was recorded as 26.87 ±16.12. Conclusion: Presence of dental caries was found to be associated with increased CPQ score presentation a positive impact on Quality of Life of children.

Learning Natural Sciences in Vocational Schools requires an assessment that emphasizes the scientific process and learning outcomes related to natural events around. But in reality until now science learning is still centered on the teacher and during learning more use textbooks and assessment only in the form of a written test at the end of the lesson. This results in low student performance skills and learning outcomes. One of the supporters who can practice the performance skills and student learning outcomes is a learning tool based on guided inquiry. This study aims to determine the appropriateness of guided inquiry-based science learning tools to practice vocational student performance skills. The device development is based on the Dick & Carey development research model so as to produce learning devices that are tested to the field test stage. The validity of the device is validated by experts, then in this observation also observes the activities of teachers and students, student responses, the influence of the use of learning tools, and student performance skills. The results showed that; (1) guided inquiry-based science learning tools are declared valid by experts, (2) teacher and student activities are categorized as good, (3) student responses show positive responses, (4) and there is an increase in student learning outcomes by 78.60% and Student performance skills improve with each meeting and have good criteria. Based on the results of a descriptive analysis of the learning tools developed it is said to be feasible and able to train performance skills.

Background: Minimal access surgery offers patients fewer postoperative complications, shorter hospital stay and better cosmetic results compared to conventional open gynaecological surgeries. Aim and Objectives: To determine the prevalence of gynaecological minimal access surgeries and to determine indications and complications associated with them at UDUTH, Sokoto, Nigeria. Methodology: This was a descriptive retrospective study of all gynaecological laparoscopies and hysteroscopies performed at the Usmanu Danfodiyo from 1st, January 2012 to 31st, December 2016. Result: There were 1,016 gynaecological surgeries over the period with 112 minimal access surgeries given a prevalence of 11.02%. Laparoscopy accounted for 87.1%% while, hysteroscopy was 12.9% of cases. Their ages ranged from 18 to 40 years with a mean of 28.44 ± 4.99 years, and a modal age of 25-34 years (66.6%). Laparoscopy accounted for 87.1% of the minimal access surgeries while hysteroscopy was 12.9%. Secondary Infertility (41.1%) is the most common indication for laparoscopy followed by primary infertility (28.9%) and amenorrhea (15.6%). Asherman’s syndrome (66.6%) is the commonest indication for hysteroscopy followed by secondary infertility (16. 6%).The most common complication was abdominal pain in 13.0% while, the least was uterine perforation in 0.9% among them. Conclusion: Minimal access surgery is a safe, feasible, and less invasive modality for evaluation and treatment of gynaecological pathologies. It has better cosmesis, less complications, and lower cost implication. Therefore, the need for training, retraining and provision of necessary facilities in Nigeria.

Ovarian surface epithelial tumors with choriocarcinomatous differentiation are vary rare. We report a case of clear cell carcinoma of the ovary with choriocarcinomatous differentiation in a 54-year-old female who got admitted for evaluation of a large pelvic mass. Clinically, mass arising from right adnexa/ soft tissue/ appendix was suspected which on radiologically showed a solid and cystic mass arising from right adnexa. The mass was excised in toto and sent for histopathological examination. Grossly, we received a salphingo-opherectomy specimen measuring 13x11x8 cm. External surface was smooth with congested blood vessels. Cut surface revealed solid (40%) and cystic (60%) areas and reddish brown fluid was extruded. Friable and hemorrhagic areas were noted grossly. Microscopy revealed sheets of clear cells the lesion was composed of round to oval cells with ill defined cell border, moderate eosinophilic to clear cytoplasm and bland nuclei. A panel of Immunohistochemical markers were performed and the lesional cells were positive for Pax 8 and beta HCG .With H&E morphology and Immunohistochemical staining pattern a diagnosis of clear cell carcinoma of the ovary with choriocarcinomatous differentiation was rendered.

The imaginative writer always aims at presenting a story to the audience (readers) that is not only interesting but appears to be true so as to keep them in love with his work. The literary creative writer skillfully mixes his imagination with the material obtained from the society to produce a piece that is a reflection of the realities of his environment. This paper therefore, examines Trevor Rhone’s Smile Orange from a realist perspective. The paper reveals that the themes and literary techniques the author has adopted deepen our knowledge of the Caribbean Islands, particularly Jamaica whose socio-economic realities are sampled by the author. Through realism, as a literary theory, racism and sexuality among other thematic preoccupations and literary techniques like satire and the use of a creolised English, this paper appreciates Smile Orange as a piece that brings us face to face with the real experiences of the Caribbean. The history of the Caribbean has been captured in the paper to give the reader an insight into what the literature of the people may contain if it is realistic. The author is able to give us another dimension of the economic and social problems of Jamaica using the tourist industry as an example. By presenting those issues without making any revolutionary move makes the playwright a critical realist.

A stroke stroke is extremely rare during pregnancy. Called PRA, the prognosis is potentially serious, the mechanism of occurrence and causes are still uncertain. Neurologic manifestations in a gestational setting associated with other risk factors may be life-threatening for the mother and fetus by further complicating the choice of treatment. We report the observation of a young woman pregnant with 26SA + 4jrs in anemia led to the diagnosis of a cerebral infarction.

The most remarkable demographic features in Islamic societies are the high level of fertility and high unmet demand of contraception. Reproductive health is a matter of discussion among the Islamic countries for the last 40-50 years. Family planning (FP) is a subject of controversy over the Muslim world. Contraceptive prevalence rate among Muslim countries are relatively low compared to rest of the world. Muslims fear that the FP methods are Western intended programme to control the Muslim population .They also fear that the contraceptive methods could be a form of infanticide. This article critically analyse the truth and myths about family planning methods in the Islamic perspective. There is not a single text in the Quran to prohibit the use of contraceptive methods. In fact Islam endorses and encourages the practice of spacing the.

The phenomenon of crime from time to time shows an increasing trend in graph, both in quantity and quality, but such increase is not balanced with the ability to resolve the crimes. The average ability of the investigators to resolve crimes that occur is approximately only 47%. Law enforcement for various types of crimes is generally carried out through the mechanisms or procedures that are regulated in the Criminal Procedure Code, namely through the Criminal Justice System (SPP). This is as a result of using positivistic paradigm in the law enforcement. Law is only understood as a mere law. Therefore, in resolving criminal cases, the figure of police, who not only understand the text of rules of law but also the contextual aspects of case, is necessary. Such police figure can be referred to as Progressive Police, namely police who are willing to think and act out of the box so that they are not confined to rules (rule bounded). In Riau Islands, contextual crimes frequently occur so that they need to be handled contextually by the police. The actions are carried out through restorative justice, specifically through the Partnership Forum of Police and Society (FKPM). This study was conducted to elaborate the characteristics of Progressive Police and create "police gentlement" so as to be able to solve contextual crimes through restorative justice.

Aim: The purpose of the study is to analyze how periodontal health is affected based on psychological understanding of people about various periodontal diseases and if they are aware of basic hygiene modalities to keep a healthy periodontium. Materials and methods: A cross- sectional interview-based survey was conducted among 300 people between age groups of 20-60 years. During interviews, participants provided information on their demographic characteristics, educational attainment and general gingival health. They were also assessed on their level of stress that they usually endure. Result: Our study showed general increase periodontal as well as gingival diseases with age. People also had relatively less knowledge, mostly in those people who were not well educated. Young people were enthusiastic to improve their periodontal health. Conclusion: The study shows that people who are under greater stress showed a steep decline in their periodontal health and people with poor socio-economic background also ended up with more frequent oral health problems.

Background: Genu varum (bow leg) is a deformity of the knee marked by medial angulations of the leg in relation to the thigh, an outward bowing of the legs, giving the appearance of a bow. This study was carried out to determine the prevalence of genu varum among children between 6-10 years old in some Urhobo communities in Delta state, Southern Nigeria. Materials and Methods: The study populations were drawn by purposive sampling from Ughelli, Warri, and Sapele. Data were collected on 1000 children (500 males and 500 females). Physical examination of the children was carried out by measuring their medial intercondylar distances by using calipers and meter rule while the children stood erect with their ankles touching. Children with medial intercondylar distances greater than 0.2cm (the mean value for normal Nigeria children) demonstrates the deformity (genu varum) and the frequency, age. sex was recorded. Results and Discussions: Based on this data, 43 in 1000 volunteers had genu varum. It was also seen that the prevalence was highest in 6 years old age group and lowest in 10 years old age group. It was noted as the ages increase, the prevalence rates among the age groups decreases. The prevalence of this deformity in Urhobo communities is low when compared with the overall prevalence in Nigeria. The Urhobos live in the riverine area of Southern Nigeria and their occupation are mainly farming, hunting and fishing. Their meals consists mainly of products from the farm, hunting and sea foods which are very rich in protein/calcium. Children in Urhobo Communities are also well exposed to sunlight. Conclusion: The prevalence of this genu varum in this ethnic nationality although low can be further reduced with enlightenment and education of parents and children on the importance of balanced diet.

Amyloidosis includes different forms of organic or systemic damage; it is characterized by deposits fibrillar in the connective tissue. At the ENT level, isolated involvement of the larynx is the most observed. However, isolated laryngeal involvement is rare. A search for forms multifocal or systemic by means of complementary examinations is therefore recommended. Preferential treatment of laryngeal form is endoscopic surgery with preservation functional.

This research paper has attempted to gauge the relationship amongst dependent and independent variable of firms in Pakistan. Book Value per Share, Earning per Share, Dividend per Share, Gross Domestic Product and Interest Rate are considered as influence factors on movement of Stock Price. For this research 16 organizations are viewed as, recorded in the Pakistan Stock Exchange amid the day and age 2007 to 2016. This exploration will underline on working influences and money related influences and their impact on the gainfulness of the organizations. To gauge the relationship amongst influence and benefit of firms of Pakistan relapse demonstrate and spellbinding measurements will be utilized. Our outcomes will empower the organizations to discover the huge relationship amongst influence and gainfulness of the firm. This study sought to investigate the impact of Book Value per Share, Earning per Share, Dividend per Share, Gross Domestic Product and Interest Rate on Stock Price movement of Pakistan’s firm. Importantly there is positive relation between independent variable, i.e. Earning per Share, Dividend per Share & Interest Rate and dependent variable that is Stock Price.

Psoriatic rheumatism has seen many recent therapeutic advances, as well as new recommendations highlighting the importance of specifying certain prognostic factors in order to manage this condition early. To this end, 63 patients were studied for psoriatic rheumatism, comparing those with clinical and/or radiographic progression of the disease with those whose rheumatism is in a state of so-called minimal activity. A significant correlation was found with the extent of cutaneous psoriasis, polyarticular involvement and biological inflammatory syndrome. Our results were then compared with those in the literature.