A single renal artery to each kidney is present approximately 70% of individuals. The arteries vary in their level of origin and in their calibre, obliquity and in their precise relations. Near the renal hilum, each artery divides into anterior and posterior divisions and these divide into segmental arteries supplying the renal vascular segments. The materials were 35 formalin fixed cadavers irrespective of the sex which were used for the routine dissection of the undergraduate students in the Department of Anatomy. Single renal artery was observed in 71.42% originating from abdominal aorta. Accessory renal arteries were seen in 27.14% originating from abdominal aorta. Extrahilar branches arising from renal arteries were observed in 27.15% 0f the specimens studied. The knowledge of the possible variations of renal arteries is necessary during renal transplantation surgeries, urological procedures and angiography of the renal arteries.

The rural milieu of Cameroon is lagging in development infrastructures. Local stake holders via local development committees invest in those areas to uplift the living standards of the populations. It is against this backdrop that this paper aims at making a comparative analysis of the actions of development committees in the Bangang Chientaincy (Bamboutos) since 1977 and in the township of Meskine (Diamare) since 1993, in order to evaluate the level of participation of local stake holders in the development of their land. Primary and secondary data have enabled us to analyze the actions of the development committee of Bangang (including its three subcommittees) with those of the Meskine central committee (including one subcommittee). The evaluation results situate respectively in Bangang and Meskine at 68% against 64% the rate of public actions accomplished by the committees, at 28% against 35% the rate of social actions, and at 4% against 1% the rate of economic actions.

Heart failure is the end stage of all diseases of the heart and is a major morbidity and mortality. Unfortunately, heart failure may be difficult to diagnose clinically, as many features of the condition are nonspecific. The overall incidence is likely to increase in the future because of both an aging population and therapeutic advances in the management of acute myocardial infarction leading to improved survival in patients with impaired cardiac function. Aim: the various clinical manifestations of Chronic Heart Failure and to identify the major etiological and risk factors of Chronic Heart Failure. Methods: This study was conducted in the Department of General Medicine and Cardiology, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Institutional Ethical committee Permission was obtained for the study. A total of 50 patients with symptoms of heart failure were included in the study. All patients selected were subjected to detailed history, clinical examination and investigations. Complete Hemogram, Serum electrolytes - Sodium, Potassium, Calcium, and Magnesium, Blood glucose levels, Renal function tests, Chest X-Ray, ECG, 2D ECHO, Serum fasting lipid profile, BUN, serum uric acid, Liver function tests, and complete urine analysis. Results: The most common sign on examination was pulmonary rales in 34(68%). Next was S3on auscultation in 31patients (62%), B/L ankle edema was noticed in 29 patients (58%), raised JVP in 24 (48%), tachycardia HR >120 bpm was noticed in 16 (32%), tachypnea RR >30 was seen in 19 patients (38%). Diabetes was noticed in 9 patients, five of them had and two were having previous h/o of IHD. Broad QRS complexes >120 msec was noticed in 12 patients (24%) had complete LBBB with very broad QRS complexes >140 msec. ...

To investigate knowledge and practices towards preventive dentistry among undergraduate dental students and interns in Qassim university. 1. To assess the level of knowledge of preventive measures in dentistry among undergraduate dental students and interns in Qassim university. 2. To evaluate the practices of undergraduate dental students and interns in Qassim university in preventive dentistry. A ninety seven participants were involved in this study 28 third year students, 25 fourth year students, 24 fifth year students and 19 dental interns. The questionnaire was adopted from previous similar studies carried out in Nairobi dentists and Iranian dentists. Conclusions Based on the findings of this study, the following was concluded: 1. Undergraduate students and dental interns in Qassim University had vast knowledge towards preventive dentistry. 2. Undergraduate students and dental interns in Qassim University carried out most of the practices involved in preventive dentistry.

This study aims to determine the amount of transformer production, availability of labor, inventory of finished products, normal working hours and optimal overtime so as to obtain minimal production costs and increase company profits. The method used in this study is to use Aggregate Planning by optimizing mixed integer linear programming. The data used is the secondary data of the company, then developed with mathematical models and processing data using the help of LINDO 6.1 software. The results of the study are as follows: 1.) The optimal number of production at (normal working hours and overtime) is 141 units of product, 2.) The optimal number of workers is that there are 173 employees or companies do not need to increase or decrease the number of employees, 3.) The optimal number of finished product inventories is 69 units. 4.) The need for normal working hours and optimal overtime decreases from 201,541 to 193,755 people working hours or decreases by 4%, 5.) Optimization of minimizing transformer production costs is 4.6% or Rp. 57,661,862,889, - from Rp. 1,249,002,284,528, - to Rp 1,191,340,421,639, -.

The purpose of this study was to examine the contributions of physical facilities on effective management of public secondary schools in Uriri Sub-county, Migori County, Kenya. The research question was; How does thephysical facilitiescontribute to the management of public secondary schoolsin Uriri Sub-County, Migori County, Kenya? The study employed survey design. The study population included all head teachers, all PA chairpersons and all BOM members in the 18 public secondary schools. Purposive sampling was employed in the study. The sample therefore comprised of 18 principals, 18 PA chairpersons and 64 BOM members. Data was collected by use of questionnaires and interview guide. Four of the schools outside the study area was used in piloting the study to act as pre-test to the instruments of data collection to ensure their reliability. Face validity of the instruments was determined by three experts in the department of Educational Leadership and Policy Studies, Rongo University Collegeand the impressions on the instruments improved based on the supervisors‟ advice before using them for data collection. Quantitative data was analyzed by use of descriptive statistics in form of frequency counts, percentages. Statistical Package for Social Science (SPSS) software was used for data analysis. Findings revealed that there was a problem in cooperation among the members caused by lack of team work and financial knowledge which was 51 (85.0%). It was recommended that the BOM members should be involved in regular financial training and budgeting.

Micro, Small and Medium Enterprises (MSME) sector plays a significant role in fostering entrepreneurial talent and distribution of income & wealth at grassroots level. It contributes immensely in manufacturing output, exports, generation of employment and gross domestic product. The contribution of female entrepreneurs cannot be ignored in this sector, especially in rural areas where they have strengthen the rural economy by generating employment in micro enterprises. But the growth of the female entrepreneurship has been slow owing to social attitudinal and practical problems. This paper focuses on the status of female entrepreneurs in regard to analysis of the findings of the NSS 73rd Round of NSSO, related to female entrepreneurs. It examines the obstacles of women entrepreneurs and the initiatives taken for the growth and development of women entrepreneurship. Finally suggestions have been specified for obliterating the hindrances and creating better environment for nurturing female entrepreneurship.

This study sought to establish the influence of participation in games on academic achievement across gender in secondary schools in Rongo Sub-County. The study adopted descriptive survey and correlation designs. The study population included 50 head teachers, 50 games teachers and 2000 Form Four students. The sample size was as follows: 350 form four students participating in games, 175 boys and target population. 175 girls which was 33% of the Face validity of the instruments was determined by three experts in the department from Rongo University. Test-retest method was used to establish the reliability of the instruments which was found to be 0.89 An independent t-test was performed to compare the academic achievement of girls and boys participating in games. The study found out that there was no significant difference in academic achievement among girls and boys participating in games (t 348) =0.752, p=0.453) moreover, the differences in academic achievement is however independent of the sex of the students. Girls who participate in games are likely to achieve just as much as boys who participate in games. The study concluded that Secondary schools need not discriminate on gender while participating in any games programs. The study recommended that all students should be encouraged to participate in games irrespective of their gender. The researcher paid keen attention to research ethical issues and got the informed consent of the respondents and guarded against plagiarism and ensured confidentiality.

This paper argues that in 2007, the Chinese A-share market held a significant change in its entire progressing process. The interest rate shock in late May 2001 may be a noteworthy event causing the trend change. The paper aims to test for the trend change in real estate stock prices. Two leading listed real estate stocks were employed. Monthly series spanned the period from 1998M012014M12. Unit root, break-date and cointegration tests were conducted. Both the Perron test (in a mixed IO Model C) and the Zivot-Andrews test (Model C) were performed. A long-run memory of real estate share markets was suggested. Breakpoints occurred in March 2007. Long-run equilibrium did not exist between the stock prices. Real estate shares responded fast and independently to the interest rate shock in 2007. The interest rate shock may result in a trend change in real estate stock prices

The current wave of unrest among secondary schools students in Kenya is an indication of a serious problem in schools related to juvenile delinquency behaviours. For over two decades, this has been undermining the adolescents’ achievement and development. In this regard, juvenile delinquent behaviours have far reaching consequences; hence the present study sought to explore into the relationship between students’ indulgence in various delinquency behaviours and their academic achievement in Mumias sub-county, Kakemega County, Kenya. Specific objective for the study was to determine the elements of delinquent behaviours among secondary students. The study adopts Jessor's Problem Behaviour Theory (PBT) and ex post facto research design to explain the various study variables. The target population of this study was 54 secondary school deputy principals, 54 guidance and counselling teachers, 218 class teachers, 7548 form two and three students. The sample of the study consisted of 47 secondary school deputy principals, 47 guidance and counselling teachers, 139 class teachers and 365 form two and three students. Data was collected using questionnaire, observation schedules, interview schedules and document analysis.

The idea behind this study is to emphasize the significance of strategic performance management systems that assist managers to build up a proper performance management process in their respective organizations. It examines the purpose of how strategic Performance system can employ to strengthen the different human resource strategies of an organization. In a nutshell, the paper takes a deep insight into the aspects of Strategic Performance Management System (SPMS).The findings obtained from the intense reviews exhibit the main purpose, process and components that the system should execute at its managerial levels for better performance.

This study aims to improve student motivation and learning outcomes by utilizing the Traditional Gorontalo Bilu-bilulu game in learning Social Sciences (IPS). This research was conducted in the fifth grade of Gorontalo State University Laboratory Elementary School and was motivated by the condition of students who showed less student learning motivation and many learning outcomes were below the Minimum Completion Criteria (KKM) because teachers often used the lecture method which tended to be monotonous and not used the game traditionsoanal Gorontalo Bilu-bilulu. This study uses Classroom Action Research methods with stages of planning, implementation, observation, analysis and reflection. The assessment used in this study is a test technique to determine student learning outcomes, assessment of student learning motivation through questionnaires and observation sheets to determine the activities of teachers and students during the learning process. The results of the study indicate an increase in the assessment of student motivation and learning outcomes. In the assessment of student learning outcomes cycle I completeness 45% with an average value of 74.50 while in cycle II completeness reached 80% with an average value of 83. This shows that the use of traditional Gorontalo Bilu-bilulu games can increase motivation and learning outcomes students in social studies learning.

Abstract: The objective of the study was to compare computed tomography (CT) imaging of patients with respect to neurological signs. This is a hospital based prospective observational study. 50 patients of eclampsia (both antepartum and postpartum) were studied. CT scan was performed within 48 hours of admission. Statistical analysis was done chi square test and unpaired student’s t test. In this study, of the 42 cases with CT scan abnormality, 39 women had neurological signs and symptoms and 3 cases did not have neurological signs and symptoms (p=0.000005). The sensitivity, specificity, positive predictive value and negative predictive value were found to be 92.85%, 75%, 95.12% and 66.66 % and the diagnostic accuracy was found to be 90%. CT scan of brain in eclampsia can provide useful intra cerebral information and should be done in cases with severe neurologic manifestations, if possible for every eclamptic mother. Further studies including diagnosis of specific neurological manifestations would emphasize the precise clinical presentations in women with eclampsia. Neuroimaging therefore, will help in modifying management protocol in eclampsia.

The current study presents a case of iatrogenic mid-root perforation with a maxillary central incisor in a 59 -year-old female patient, with a history of trauma in that region. Perforations that occur in the mid-root region pose a challenge to the dentist due to inadequate access to the perforation site. Perforations also increase the chance of inflammatory reaction in the periodontal ligament. A concept for the repair of root perforations is presented using a resorbable collagen matrix which reconstructs the outer shape of the root and facilitates the adaptation of MTA. The current clinical case shows successful root perforation repair with follow up using aforementioned technique.

The present article investigated the previous body of research on trust in business negotiation, providing an extensive literature review on the subject. This study is helpful to students, practitioners, academics, managers, business negotiators, mediators, and other professionals in general, stimulating the reflection on their social and workplace business negotiation behaviors, as well as deepen the underlying process of self-awareness and thus provide an opportunity self-learning, behavior changes, and development, on business negotiations trust matter. This article investigated the following theoretical approaches: (a) Behavioral; (b) Psychological approach, encompassing: (b.1) unidimensional; (b.2) two-dimensional, and (b.3) transformational approaches, as well as the fundamental supportive theories to trust regarding the business negotiation process. This literature review is part of my doctoral thesis and aims at providing consolidated information on the subject Trust in Negotiation for academics, practitioners, and students in general, as well as presenting the newly theoretical academic contribution, the transformational Compelled-Based Trust Approach. Discussion and future research recommendations complete the present work