Traumatic carpo-metacarpal dislocations without associated fracture are rare lesions. Untreated, these lesions can lead to joint instability and early joint degeneration. We report 2 cases of dorsal carpo-metacarpal dislocation of the fifth metacarpal in 2 male patients. The age was 28 years and 39 years. On clinical examination both patients had edema and deformity of the dorsal surface of the right hand. The X-ray showed a dorsal carpo-metacarpal dislocation, pure, complete in both patients. The dislocation was successfully treated by closed reduction maintained with two K-wires. Immobilization of the joint was applied for 6 weeks. At 10 months' follow-up evaluation, the 2 patients showed no pain and had had regained their previous level of activity.

The chest tube is used to restore the intra pleural pressure and to prevent the collapse of lungs. Chest tube management includes the actions to keep the tube functioning properly, which is the prime role of nurses while caring of patients with chest tube drainage Elfeky, 2013. The main objective of this study was to determine the level of knowledge regarding chest drains care among staff nurses of Mayo hospital Lahore. A cross-sectional descriptive study design was used to assess the level of nurses’ knowledge regarding chest drains care. A Convenient sample technique was used in this research study. A sample of n=150 was recruited. The main instrument for Information was questionnaire adopted from the research (Danish Ruhel 2013). The questionnaires were divided into two sections. Section 1 comprised of demographic information of respondents; Section two consist of knowledge based questions. Data was analyzed through SPSS version 21. The results are shown below. The finding of this study shows that among the participants 24% had poor knowledge of chest drainage care and they answered 13 or less correct answers off the 23 questions being asked. 24% of the participants had moderate knowledge and scored 14-19 correct responses, while 40% of the study participants had good knowledge of drainage care and answered above 19 correct responses. Overall there was a satisfactory level of knowledge regarding the chest tube drainage care among nurses of the selected hospital in Lahore.

Dentinogenesis Imperfecta is an autosomal dominant disorder of dentine affecting primary and permanent dentition. Mutation in dentin sialophospho protein on the long arm of chromosome 4 results in this defective dentin. The clinical appearance of teeth is characteristic showing an amber like translucency and severe attrition. It can also occur in association with osteogenesis Imperfecta, a genetic disorder of type 1 collagen. Here we present a case of Dentinogenesis Imperfecta associated with Type 1 Osteogenesis Imperfecta in a 14-year -old girl.

In India, Pteridophytes are particularly distributed in the Himalayan and coastal regions. The variable topography and climate conditions of India contribute to a rich diversity of its flora and Pteridophytic diversity. Kotgarh and Rampur forest division region has rich biodiversity due to the great altitudinal variations with the Pteridophytes found in shady and moist patches of the regions. 22 species of pteridophytes belonging to 10 families and 16 genera have been reported in the present study. Dryopteridaceae and Pteridaceae with 5 species, Polyodiaceae and Thelypteridaceae with 3 species and remaining Families with single species have been reported.

Kikuchi-Fujimoto's disease KFD is a rare and benign cause of cervical lymphadenopathy. It is an anatomoclinical entity of unknown etiology. The confirmation of the diagnosis is always provided by histological lymph node study. The clinical picture sometimes evokes lymphoma or tuberculosis. The evolution is generally favorable with spontaneous healing after a few weeks. We report the case of a 26-year-old woman who had consulted for cervical lymphadenopathy associated with fever. The cervical lymph node biopsy concluded to Kikuch-Fujimoto's disease. The evolution was marked by rapid regression of lymphadenopathy under corticosteroid treatment.

The main purpose of this study was, to assess the knowledge of nurses regarding pain management at Jinnah Hospital Lahore. A cross sectional descriptive survey was performed to assess the knowledge of pain management among nurses. A convenient sample of n=170 was used to collect the information. The main instrument for Information was a structured questionnaire. A structured questionnaire with demographic variables and causes variables was applied. The data was analyzed on SPSS version 21. The results showed that there is positive response of the respondent mean that nurses know about pain management. The result shows that if there is enough knowledge of the nurses about pain management they will increase patient comfort ability and decrease stress which is due to pain. And suggest that nurses administration must be develop the different strategies to create good strategies to enhance nurses‟ knowledge about pain management.

Purpose of the study. To study the relationship between the clinical course, hemodynamic parameters and the functional state of the kidneys in patients with chronic heart failure (CHF). Patients with CHF with progression of the disease have worsened kidney function, clinical course of the disease, accompanied by a decrease in exercise tolerance for SMWT and deterioration in the quality of life, which was most pronounced in patients with renal dysfunction.

The studywas to evaluate the relationshipbetween performance appraisal system and staff retention in Enugu Electricity Distribution Company of Nigeria. The specific objectives include to; examine the relationship between employee’s rate of output produced and employee training. Examine the relationship between employee recognition and achievement of organizational goals. The population consists of 983 staff of Enugu Electricity Distribution Company of Nigeria (EEDC).The study used the survey approach. The primary sources used were the administration of questionnaire to staff. The 274 sample size of the study, the study used the Freund and Williams’s formula. 261 staff returned the questionnaire and accurately filled. The validity of the instrument was tested using content analysis and the result was good. The reliability was tested using the Pearson correlation coefficient (r). It gave a reliability co-efficient of 0.82 which was also good. The hypotheses were analyzed using f-statistics (ANOVA) tool. The findings indicated that there is positive effect relationship between employee’s rates of output produced and employee training F(95,n= 274)= 827.372,P<0.05;This indicates that there is positive effect relationship between employee recognition and achievement of organizational goals F(95,n=274)= 367.439,P<0.05.The study concluded that appropriate training and development programmes would be designed to correct deficiencies through performance appraisal. The study recommended that Performance appraisal should be encouraged in organizations to assists workers and management meets their expected target and Recognition of employees by the management should be a top issue in organization to enable workers gives out their best.

The purpose of this study is to find out the effect of training on pedagogical content knowledge on teachers’ performance; in schools within Nakuru North Sub- County, Kenya. The study was carried in the 22 public primary schools in the sub county among the 22 head teacher and 170 school teachers. The study was based on Campbell’s theory of performance and social cognitive theory. A sample of 8 head teachers and 51 public primary school teachers was used. The sample for the head teachers was selected using purposive sampling technique while that of the head teachers was selected using simple random sampling technique. Data for the study was collected by use of questionnaires for teachers and interview schedules for head teachers respectively. Prior to use, the questionnaires were subjected to validity checks and reliability tests. Data collected was analyzed using descriptive statistics (frequencies, means and percentages) and inferential statistics with the aid of the Statistical Package for Social Sciences computer software version 21. Pearson moment correlation (r) was used to establish the relationship between the variables. There was a positive Pearson correlation between Training on Pedagogical Content Knowledge and Teachers’ Performance (r = -0.37, p = 0.802). The study established that the school management and the Ministry of Education will be able to use these findings in formulating appropriate strategies that help enhance teacher performance through their continuous professional development.

Automatic focusing is very important to high-quality image acquisition for camera system. This paper proposes a new automatic focusing method using skin-color face detection to automatically determine focusing area. In order to overcome the influence of color temperature on the face detection method, we propose a new color correction method by learning a color temperature curve with statistical methods. The color temperature curve is a concise representation of the inverse relation between light sources in the logarithmic color space. The method compensates color shifts of images by locating a set of compensation gains from the trained color temperature regression curve. A comparative setup of experiments is built to verify the effectiveness of the proposed method. Controlled experimental factors include light source, object distance and initial lens position. Modulation transfer function of images is applied to objectively evaluate the image quality before and after the new automatic focusing method. Experimental results show our method has high success rate of face localization, and effectively achieves automatic focusing.

The appearance of cracks in structures is a very important issue, moreover, it is a complex problem on the numerical level. These cracks should never be taken lightly. They can be the sign of serious disorders especially if they are structural cracks. The objective of this article is to study the effect of the crack existence in civil engineering structures: concrete and metallic structure in terms of frequencies and eigenmodes using the extended finite element method X-FEM and to compare the results obtained with the classical finite element method (Structure without crack).

The purpose of this study was to assess the relevance of vernacular radio stations’ agricultural programs in influencing utilization of agricultural information among farmers in Molo Sub County, Nakuru Kenya. Agricultural sector provides a livelihood for about 80% of Kenya‘s population and employs more than 70% of the rural population hence it remains valuable for the provision of food and employment opportunities. Vernacular radio stations, as part of mass communication, has a wider audience in rural areas compared to other forms of media outlets. Therefore, they have led to the passing of novel information on agriculture to farmers in Molo Sub County, Nakuru Kenya. This study adopted a cross-sectional survey research design whereby 8,445 households in Molo sub-county were targeted. Cluster sampling method was used to determine the number of participants that was selected through systematic sampling. The target population was 155 respondents in Molo Sub County Nakuru Kenya and the response rate was 94.9%. A Questionnaire was used to collect data and pilot testing was done in Subukia Sub County Nakuru, Kenya. Descriptive statistics showed that 83.9% of the respondents listen to the agricultural program while 16.1% disagreed to listening to agricultural activity. The study established that there exists a statistically significant relationship between demographic characteristics, relevance of agricultural programs, institutional factors and utilization of agricultural information (r= 0.644; p<0.05, r= 0.503; p<0.05, r= 0.463; p<0.05) respectively. The study concluded that demographic characteristics had a very high influence in the utilization of agricultural information among farmers in Molo Sub County, Nakuru Kenya. This deduced that radio agricultural programs are useful to farmers in Kenya and have greatly influenced their farming practices. The study recommended that there is a need for more effort in providing agricultural information programmes to farmers.

Teh Botol Sosro, produced by PT. Sinar Sosro, is the first brand of ready-to-drink tea in Indonesia that has been developed and maintained for decades. The number of competitors make Teh Botol Sosro remains firm in fighting in the ready to drink tea market. This study aims to analyze the effect of product quality on partial purchase decisions, price on partial purchase decisions, promotion on partial purchase decision, brand awareness on partial purchase decisions, and product quality, price, promotion and brand awareness simultaneously. The population of this research is visitor of Giant Mall Permata Tangerang. While the sample is the respondents who buy Teh Botol Sosro. The average visitor who bought Teh Botol Sosro at Giant Mall Permata Tangerang was 1,200. Thus obtained respondents to be observed with the Slovin formula is 100 respondents. Quantitative analysis method using multiple linear regression analysis, followed by determination analysis (R Square), partial hypothesis testing (t test) and simultaneous (F test) with alpha 5 percent (0,05). Prior to further analysis, data quality and classical assumption test are done. Analytical tool using SPSS version 23.0 for windows. The result of this research shows that product quality has partially influence on Purchase Decision, price has partially influence on Purchase Decision, promotion has partially influence on Purchase Decision, brand awareness has partially influence on Purchase Decision, and product quality, price, promotion and brand awareness have simultaneously influence on Purchase Decision of Teh Botol Sosro product at Giant Mall Permata Tangerang. There are still other factors that affect the Purchase Decision, therefore it still needs further research.

Access to justice suffers a number of challenges and results to ineffective functioning of the justice system. Despite the existence of empirical studies on strategy implementation and strategic planning in the Judiciary, no research has been carried out on the effect of case management on access to justice. The population of the study comprised one hundred and thirty five respondents being magistrates, Judicial staff, Office of the Director of Public Prosecutions (ODPP) counsels, advocates, police and prison services, children and probation officers based in Molo Law courts. The study used the descriptive research design. Stratified proportional sampling was used to categorize various stakeholders into strata and determine the number of participants that would be selected from each stratum. Simple random sampling was used to select individual respondents from each stratum. Primary data was collected by use of questionnaires, where quantitative data was analyzed using both descriptive and inferential statistics specifically Spearman correlation analysis, while qualitative data was analyzed using thematic analysis. The study targeted to collected data from 94 individual but only 72 were able to complete and return their questionnaires to the researcher. From the study findings, the values of Spearman correlation coefficient were r = 0.735 for case management. This implies that the way case management is handled is an important determinant of whether there will be access to justice or not.

This study aims to examine and analyze the influence of motivational leadership and compensation on employee performance of PT XYZ. The sampling method used is a saturated sample. The population is 47 employees and the samples are all employees. The method of analysis used in this study is multiple linear regression. The results showed that leadership, motivation and compensation simultaneously have a significant effect on employee performance. Partially, leadership and motivation have a significant positive effect on performance. Motivation and compensation have a significant positive effect on performance.