This study aims to determine the improvement Skills Process of Science after developing science-learning media about human waste-based digestive systems. The research was conducted at SDN Kapuk 02. This research used R & D research method which refers to Dick and Carey model. Respondents in this study consisted of expert test (media, language, and material), one to one, testtrial small group, andtest fieldtest. The results of the development of Torso Digestive System Human assessed by media experts ie 88.3%, material experts 90%, and linguists 93.3%. The next stage of Human Digestive System Media performedtrial one to one with 89% product feasibility, trial small group with 90.1% product feasibility, and field test with 90.4% feasibility. Assessment made into the category is very good. PPP in this research was conducted by classroom teachers. Classroom teachers conduct assessments before and after media use. At the time before using the Human Digestive System media, the student's KPS earned an average of 68.7%, after using Human digestive System media has increased to 89.5%. This indicates that the Human digestive system media improves student's KPS until it reaches the completeness criteria. Thus the media of Human Digestive System has effectiveness to the student's KPS.

The purpose of the study was to examine the effect of co-operative credit union (CCU) on the economic well-being of employees. The study was a case study with a sample size of 182. However, only 179 of the respondents participated in the study. The census method was used to capture all the respondents. A questionnaire with three sections was the instrument used to address the research objectives. Data analyses were applied, including cross tabulation, frequency and percentage distribution. The findings from the study have established that credit union scheme has assisted members significantly in overcoming most of the financial challenges facing them. This helped in improving the quality of life of the members. Management staff of the union was found to lack the needed professional competence and expertise for managing the scheme. Based on the key findings and conclusions the study recommended to management of the union to ensure that interest rates are reduced further and the competence of the management staff of the scheme is upgraded in risk and investment management to make the scheme more sustainable to continue enhancing and improving the economic well-being of its members significantly.

The overall aim of the study was to elucidate on how strategic leadership influences strategy implementation in the Office of the Director of Public Prosecutions (ODPP) in Nakuru County, Kenya. The key research question of this paper is if strategic leadership is a driver of successful strategy implementation in the Office of the Director of Public Prosecutions selected. Theoretical underpinning for the study was based on three theories namely Resource Based View, Open Systems Theory, as well as Institutional Theory. Data was collected using self-administered semistructured questionnaires. Reliability of the research instruments was 0.610, established using the Cronbach’s alpha coefficient indicating that the conditions of reliability were met. Construct validity of the instruments was established by sharing the information of the instruments with experts in the area of strategic planning and implementation. Data analysis was conducted using inferential analysis with the aid of SPSS version 20. The computed value of the Spearman correlation coefficient was r = 0.560, which was significant at P<0.05. The study findings are therefore critical to various stakeholders in the Criminal Justice System, especially the Office of Director Public Prosecutions. These study findings strengthen the Government’s understanding of the strengths and weaknesses of strategy implementation and make this a basis for strategy implementation process in the office of the DPP and other Government offices.

This study aims to analyze the positive and significant influence of social media instagram on the intention of purchasing online partially, the effect of Quality of Products / Services on the intention of buying online partially, the price positively and significantly influence the intention to buy online partially, and the influence of social media instagram, price & quality of product / service to intention to buy online simultaneously. The population of this study is the Customer who became follower MGM Instagram. With the classification of Customer who became follower MGM Instagram at least 1 year. While the number of samples from the population number 1.101 People with a 5 percent MOE at a 5 percent confidence level based on the slovin formula is 289 samples. 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 (α) 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 results showed that social media instagram have positive and significant effect on Partial online purchasing intention, Product / Service Quality to Partial Buying Online partially, price positively and significantly influences partial online purchasing intention, and instagram social media influence, price & product / service quality against intention to buy online simultaneously.

In India, an estimated 30% of the population suffers from some form of psychiatric disorder. Twenty million Indian families have at least one member suffering from schizophrenia. More than 12% of Indian children aged 1 – 16 years suffer from mental disorders and the incidence of mental retardation is also high. Severe mental disorders that include schizophrenia, bipolar disorders, organic psychosis and major depression affect nearly 2% of our population. Many epidemiological studies conducted in India on mental and behavioral disorders report varying prevalence rate, ranging from 9.5 to 370 per 1000 population. The study utilized an experimental research approach. The study was conducted in a mental hospital, Gwalior, M. P. A purposive sampling technique was utilized for selecting a sample of 50 family members of the 50 patients with CMD in mental hospital, Gwalior, M. P. A structured interview schedule with multiple choice question and STM was prepared. Content validity of the tool was established by 6 experts in the field of psychiatric nursing. Data collected were analyzed and interpreted by using descriptive and inferential statistics. Prior to the implementation of STM the family members had mean percentage 39.89% of total score, which is poor knowledge, whereas after the implementation of STM the family members had mean percentage 72.97% of total score which is good knowledge with the effectiveness of 33.08%. The content of the STM will help the nursing professionals in hospital and community to reinforcing their knowledge on home care management of the patients with CMD and it's also helpful to improve the knowledge of family members of the patient with CMD regarding CMD.

Dentigerous cysts are the most common bony lesions of the jaws in children. It is one of the most prevalent types of odontogenic cysts associated with an erupted or developing tooth. This paper describes a case in which a conservative enucleation surgery of dentigerous cyst is made to save unerupted permanent tooth. Seen the great capacity to regenerate the bony structures at the children, conservative surgery should be tempted in dentigerous cysts in report with open apices teeth.

The need to consolidate and complete the development progress driven by the Millenium Development Goals (MDGs) and ensure that no one is left behind led world leaders to gather at the UN Headquarters in New York in September 2015 to adopt a new program on sustainable development. The SDGs provide a more ambitious international framework for driving progress between 2016 and 2030. A review of the MDGs implementation in Nigeria reveals that the country registered mixed results across the goals, geographic areas and gender groups. Even though, there are some progresses on some indicators, many of the goals and targets were not met. This is in view of the fact that the Nigerian Government did so many things in order to achieve the set goals. The debates surrounding the SDGs have mainly concerned with the setting of goals and indicators while less attention has been paid to discussing the roles and responsibilities of different stakeholders towards achieving these goals, and how to best implement this universal framework at the local level. Given the scope and ambition of the SDGs, it is clear that governments alone cannot achieve the agenda. Therefore, building vibrant and systematic partnerships with other stakeholders is a vital prerequisite for the successful implementation of a transformative agenda to accelerate poverty reduction and sustainable development goals. The objective of this paper is to explore the role of CSOs, VOPEs, private sector and the media towards achieving the SDGs in Nigeria.

The world of higher and further education has been changing rapidly and there has been a shift towards online education. Professional and regulatory bodies are indicating the importance of catering for online higher education. However, it is important to consider the effectiveness of online education in the development of skills required by the employers. As South Africa is facing high unemployment, graduating students should be equipped with more than just the qualification they registered to complete; they need to be employable. This article attempts to evaluate the effectiveness of a business related online learning module in order to develop skills in graduates which are desired by employers.

The incidence of inguinal hernia is very common especially in older individuals. Often patients are unaware of the presence due to absence of any symptoms unless detected accidentally or detected in those causing presence of pain or other symptoms. The anterior open inguinal hernia repair with mesh was described by Lichtenstein in 1989. This tension free operation has become popular. We in the present study operated on the patients with uncomplicated unilateral inguinal hernia with Lichtenstein tension free technique under Local Anesthesia and Spinal Anesthesia to evaluate their outcomes. Methods: This prospective study was conducted in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. A total of 74 patients admitted to the hospital with the diagnosis of uncomplicated inguinal hernia were included in the study. They were divided into two groups Group I (LA) included 36 patients and group II [GA] 38 patients. The investigations required as routine for diagnosis and to test the sensitivity to the local anesthetic night before surgery. Lichtenstein tension free hernioplasty is performed irrespective of type of anesthesia. The postoperative pain was measured with the Visual analogue scale (VAS) at 4h, 8h, 12h & 24h. Results: Mean time taken for duration of surgery in LA group is 58.8 + 6.02 minutes & in SA group is 56.6 + 6.74 minutes. P = 0.246 not significant. Mean time spent in operating room in LA group is 68.1 + 6.35 minutes & in SA group is 76.4+6.52 minutes with a significant P value of <0.01. The mean VAS score at 4h, 8h, 12 h, & 24h for LA group was low when compared to the SA group. The maximum VAS score was observed at 8h in both the groups and less in LA group at 3.13 ± 1.26 as compared to SA group 4.31 ± 1.66 at 12 hours also VAS was less in LA at 1.97 ± 1.02 as compared to SA 3.15 ± 1.88. Conclusion: From our study it is observed that Lichtenstein tension free hernioplasty done under local anesthesia offers following several advantages over spinal anesthesia and it is Safer even in the patients with medical comorbidities and on antiplatelet therapy. Therefore local anesthesia may be considered as the anesthesia of choice for Lichtenstein tension free hernioplasty for an uncomplicated, primary, inguinal hernia

Nursing Process is a process used to prevent, identify and treat potential or actual health problems & promote wellness (Carlson, 2010). Regardless of nurse knowledge on nursing process, certain features limit the capability of nurses to implement it in their practice, including lesser time, patient volume high, patient turnover. To assess the Nurses‟ attitude towards the nursing process in a public tertiary care hospital Lahore. Cross-sectional descriptive design was used to evaluate the attitude of nurses towards nursing process among clinical nurses working in Mayo Hospital. Sample size was selected by convenient selection and a sample n=150 staff nurses from medical, surgical and emergency ward were selected. A well-structured questionnaire with closed ended Likert scale is adopted from the previous studies. “Nurses‟ Attitude to Nursing Process” Prideaux, 1991. This questionnaire was distributed among clinical nurses of medical, surgical and emergency ward in Mayo hospital. Data was analyzed through SPSS version 21 is statistical computer software for data analysis. The findings reveals that majority of the participants 78.76% were having negative attitude towards the nursing process, having attitude score of 75% or above while 21.33% of the participants had positive attitude towards the nursing process and got attitude score of above 75% score. Overall the attitude of nurses was not positive and majority had negative attitude, which need special attention.

Abstract: The discovery of precancerous breast lesions has increased considerably with the generalization of screening. There are several classifications, the most used is that of Tavassoli and Al (adopted by WHO) which classifies intra-lobular breast neoplasia into three grades: LIN1, LIN2, LIN3. Lobular neoplasias are considered indicators of risk of invasive cancer. Progress in immunohistochemistry, cytogenetics and molecular biology, made it possible to better understand these lesions separating lesions that can be considered as simple breast cancer risk markers (LIN 1, LIN 2, LIN 3 type I) from those that correspond to true precursors of breast cancer (LIN 3 types II and III ). The management varies according to the histological type. The early diagnosis of these lesions thanks to the screening as well as a good management could help reduce the incidence of breast cancer.

Trauma remains one of the principal causes of mortality in the world, especially among young adults. The most serious immediate life-threatening complication following maxillofacial trauma is airway obstruction. The onset can be sudden, as with foreign body aspiration, or following soft-tissue damage that can lead at a later stage to airway-compromising edema. The medical literature regarding facial trauma appears to support the hypothesis that maxillofacial trauma alone is rarely life threatening or will not lead to life-threatening conditions unless associated with airway compromise. There are some causes of life threatening complications following trauma to the maxillofacial region such as massive bleeding or undiagnosed cervical spine injury. However, there are some situations that may cause irreversible damage unless immediate operation is undertaken. The almost complete lack of reports dealing with death or irreversible damage in trauma involving the maxillofacial region prompted us to review the mortality following trauma to the maxillofacial region.

The paper is providing a theoretical review of key pricing approaches which were divided as the following: Price fixing, Predatory pricing, deceptive pricing, price discrimination, penetration pricing and unfair pricing. The paper also explores a price fairness framework to provide further clarity on how fair pricing is being developed and perceived. Several key points are provided as recommendations for firms to enhance their ethical and fair pricing practices based on the research conducted.

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.

One of the fundamental rights the FDRE Constitution acknowledges is the freedom of political party membership. To this effect, the Revised Political Parties Registration Proclamation, which regulates the details of political party membership, allows a political party member to withdraw from membership at any time. It does not provide for any formality. However, the Cassation Bench of the Federal Supreme Court has decided in Unity for Justice and Democracy Party v Blue Party (File No.112091, decided on 06 May 2015 (Miyazia 28, 2007 E.C.) that a political party member cannot withdraw and be a member of another political party without notifying the former political party in writing. This case comment examines the appropriateness of this decision from the perspective of the right to political party membership. The case comment analyses the constitutional and legal provisions pertinent to the right to political party membership in Ethiopia. Relevant provisions of international human rights instruments are also explored. To share a lesson from comparative experience, the experience of the Israeli and Kenyan legal systems is examined. This author argues that the law does not require a written withdrawal notice. This enables a political party member to terminate his/her membership not only with written withdrawal notice rather by all other possible ways, including by taking new membership in another political party.