We present the lower eyelid reconstruction using prelaminated nasolabial skin flap in a 28- year old albino, who presented with medial third lower eyelid lesion with a histopathologically proven basosquamous carcinoma. When dealing with skin cancers of the eyelid, it could involve partial and full thickness excision. The excised tissues should be replaced. The eyelid ulcer was excised, with histogically free margin of 3mm but the medial canthus was spared. There was no injury to the nasolacrimal duct. The excised defect measured 28mm by 19mm of the medial lower eyelid. In the first stage of the reconstruction, a turn over proximally based nasolabial flap was raised and stitched to the excised margin of the lower eyelid. The flap was prelaminated with skin graft taken from the upper medial aspect of the thigh which was hairless. The graft had 100% take and after two weeks, the nasolabial flap was divided and inset. There was satisfactory graft and flap survival. About 8 weeks after the second staged surgery , the nasolabial flap was defatted and a functionally as well as aesthetically acceptable eyelid to the patient was achieved .The use of prelaminated nasolabial flap is a good option in the lower medial third eyelid reconstruction .

The study objective was to establish financial challenges of nongovernmental organisations’ in promotion of quality education in Musoma District, Tanzania. Despite the efforts put by non-governmental organizations in promoting quality education in the country, there are several challenges that are encountered by NGOs which hinder their support in promoting quality education. The study adopted a descriptive survey design. The target population was 19 NGO Leaders, 111 Head Teachers, the DEO, 111VEOs and DCSQAO, totalling to 243. The NGO officials, DEOs, DCSQAs, and were purposively selected because they were few. A 30 percent simple random sample was used to get33 Head Teachers and 33 VEOs .Data was collected through questionnaires and interview schedules.To ensure face and content validity of the research instruments, 2 experts in the department of Educational Administration Planning and Economics of Kisii University were requested to scrutinize the research instruments so as to validate them. Reliability of the instruments was addressed through piloting in 5 schools and reliability coefficients were obtained by subjecting the instruments to a Split-half Technique and Spearman ―Brown Prophesy formula‖. The co-efficient of reliability obtained was 0.721 which indicated that the instruments were reliable.Data was analysed qualitatively and SPSS programme was used. The findings of the study reveal that the majority (87) 88.6 percent of all respondents said that training on financial matters in the schools was done quarterly. It was recommended that the government to work closely with NGOs to provide quality education. Informed consent of the respondents were ensured and confidentiality adhered to.

Costello Syndrome (CS) is a rare congenital disease characterized by a wide range of cardiac, musculoskeletal, dermatological, developmental and dental abnormalities. Intraoral, enamel defects, delayed eruption and malocclusion, are the most common findings. We report the case of a three-year-old girl who was referred to the pediatric dentistry department of hospital la Rabta (Tunisia). It exhibited many of the dental manifestations of CS as well as general abnormalities. In our early treatment approach, the anterior teeth which presented enamel defect were restored with composite resin to adjust the incisor shape and improve esthetics and chewing function.

The purpose of this study was study was to examine teachers’ attitude towards open performance appraisal on pupils’ academic achievement. A quantitative and qualitative research survey design was adopted. The target population involved all primary school teachers, school quality assurers’, Human Resource Officer and District Education Officer, totaling to 1213. Random sampling technique was used to obtain 328 teachers and 33 head teachers, that is, 30% of the population, while the District Education Officer and Human Resource Officer and School Quality Assurance officers were purposively selected because they are few and the only existing ones. This study used semi structured interviews, questionnaires and documentary analysis for data collection. Qualitative data obtained was analyzed descriptively while SPSS software version 23 was used to analyze quantitative data. To ensure face and content validity of research instruments, two experts in the department of Education Administration Planning and Economics of Kisii University scrutinized the research instruments and validated them. A pilot study was conducted for reliability reasons. Anonymity, confidentiality, privacy and informed consent of the respondents were ensured. Findings of this study revealed that 65.52% of head teachers believed that teacher attitudes influences pupils’ academic success while 34.48% disagreed. It was concluded that positive attitude was key to pupils’ success. The study recommended that teachers and head teachers should be involved in setting goals and objectives of the performance appraisal process, The study adhered to the ethical consideration accordingly.

In recent times, there is an explosion of cosmetic procedures in the world. Nigerians have been going out of the country for these procedures. No study has been done to find out the likelihood of Nigerians to accept these developing procedures. The study is aimed at evaluating the factors that influence the acceptance of cosmetic procedures in South-South, Nigeria. A simple random sampling of 280 undergraduate students of the University of Calabar using questionnaires to evaluate the factors that influence the acceptance of cosmetic surgery in the region. The correspondents demographic data, the socio-cultural factors, economic status, personal self- rating of physical attractiveness, self esteem, personal experience with somebody who had undergone cosmetic surgery, cost and the willingness to undergo cosmetic surgery in the future were all assessed. A descriptive statistical analysis of data was used to evaluate the study. The respondents reported greater dissatisfaction with their body image, the influence of media, socio-cultural influence on physical appearance as the leading factors that influence the non clinical client population to undergo cosmetic procedures. Women reported greater likelihood of undergoing cosmetic surgery. Cost and religion did not have significant influence. The factors that influence the acceptance of cosmetic procedures among our people are multi-factorial. However, the dissatisfaction of the body image, socio-cultural factors, media and their personal experiences with people who had undergone cosmetic surgery was the motivating factors for the acceptance of cosmetic surgeries in the sub-region .It therefore, becomes necessary for the cosmetic surgeons in Nigeria to put in place suitable institutions to perform and improve on this practice.

Being an embodiment of education philosophy and campus culture, university mottoes show the education objectives and school-running philosophy through their refined words and well-structured sentences. Present researches on E-C translation of mottoes help domestic university to go global. However, most of them are done from the perspective of linguistics, which, to some extent, weakens the importance of the functions of university mottoes. To view the translation of university mottoes from a different way and tackle problems that occur in the translation, this thesis, under the guidance of Skopos theory, makes an analysis on the features of Chinese university mottoes and overseas university mottoes and looks into translation techniques.

The deleterious association of non-bone consolidation and septic complication is a therapeutic challenge for orthopedic surgeons. Tibial fractures are a source of high rates of nonunion and septic and cutaneous complications. Here we present the case of a 56-year-old patient with a history of vascular, cardiac and obstructive post-smoking bronchopneumopathy who presented septic pseudarthrosis of the left tibial pilon with cutaneous complications and whose treatment consisted of , initially in an induced membrane technique, associated with a cutaneous cover by a lateral fasciocutaneous flap of the thigh and an osteosynthesis by a Hexapodal external fixator type True Lock. During the second stage, the bone graft was removed by endomedullary boring of the contralateral femur using the device named Reamer-Irrigator-Aspirator, and the stems of the external fixator were replaced by other rods allowing adjustment multiplicane and thus a gradual three-dimensional reduction as the consolidation progresses.

This thesis deals with the merge operation in the four types of languages in the world, namely internal merge of displaced wh-words or wh-phrases in Single Filled Spec Languages, Multiply Filled Spec Languages, and Non-multiply Filled Spec Languages, and external merge of in situ wh-words and wh-phrases in Null Spec Languages. The universality of merge in the wh-questions proves that merge is a biologically based operation.

The retro-lunar carpal dislocations are often under-diagnosed in the emergency services by the lack of knowledge of the pathology. The modalities of taking care of the lunations are still discussed; if the surgical treatment is now unanimous because it alone can limit residual carpal instability, bone necrosis or osteoarthritis. Many remedial techniques have been proposed, although controversial, the authors agree that a maximalist open-minded attitude gives the best results. Our work presents the results of a retrospective series of 12 cases of retro-lunar carpal dislocations. We will discuss the epidemiology of this condition, the different types of lesions, therapeutic modalities.

Teaching and learning of English vocabulary are the most basic parts in the whole process of English acquisition. Based on the result analysis of an extensive on-line questionnaire about the vocabulary teaching situation among some Chinese and foreign teachers, this paper points out the existing problems in college English vocabulary teaching and learning. The corresponding vocabulary learning strategies are proposed to stimulate students' interest in English vocabulary learning, enhance the flexibility of vocabulary learning and use, and thus improve the effect of English vocabulary teaching and learning.

With an objective to develop some potent, novel and less side effect having antitubercular agents here we have synthesized a series of substituted/ unsubstituted 2-phenyl tetrahydroquinoline derivatives (IIa-g). These were obtained by the reaction between substituted 2-phenyl-1, 2, 3, 4- tetrahydroquinoline and sulphur in acetonitrile. Structure of the newly synthesized compounds were confirmed on the basis of physico-chemical and spectral data (IR, 1H NMR, 13C NMR and Mass). All the synthesized compounds were screened for their antitubercular activity using Microplate Alamar Blue Assay (MABA) method. Among the synthesized compounds II b, II e and II g have shown significant antitubercular activity.

Globalization today is at a dangerous crossroads. Although many alleged it has provided enormous benefits, but the systemic risks and growing inequality it causes necessitate urgent action. The myth of a borderless world is crashing down. Traditional pillars of open markets; the United Kingdom and United States are wobbling. This is evident in the Brexit vote which stunned European Union and the world at large, couple with the recent policies of the American government towards its fellow western allies and immigrants. Many people are beginning to feel so troubled about our economic future. The failure to arrest these global developments is likely to lead to growing nationalist policies, protectionism and xenophobia, which the world is already witnessing. Globalization has created growth, no doubt. But what kind of growth? And for who? This crisis posed by globalization has forced many to question the motive behind this phenomenon. Could this be renewed imperialism? This paper adopts rational and analytic methods in exposing this argument.

Fibrous dysplasia (FD) is an uncommon skeletal disorder in which normal bone is replaced by abnormal fibro osseous tissue. Mainly, Fibrous Dysplasia is found in children, and by adulthood it usually becomes quiescent. Our case showed Fibrous dysplasia of 9-year-old female child with port wine stain on the right side of mid face since birth. Our evaluation was that growth in childhood had achieved the progressive stage. We presented all radiographic and clinical images of this case that emphasized the diagnosis of the disease.

This research reveals the improvement of Indonesian students’ mathematical problem solving skill taught by problem-based learning with realistic model. Experimental research design was used and the population of the research was junior high school grade VIII students of Muhammadiyah 25 in Rantau Prapat Indonesia. Two classes with 30 students in experimental class I and 30 students for experimental class II were chosen as the sample of the research. Moreover, data found from pretest and postest of experimental class I and II were collected and calculated by Gain Hake pattern. The finding of the research showed that students posttest result after having taught by implementing problem-based learning with realistic media was 82, 08, and students taught by conventional teaching strategy was only 76,35. Furthermore, based on Gain pattern analysis, problem solving skill of experimental class I was higher with 0,61 than students taught by implementing conventional teaching strategy with only 0,46. Then, based on t-Test it was found that students’ problem solving skill with tobserved= 3,961 and t table = 2,00. In other words, t observed> t table, 3,961 > 2,00. This research conluded that students’ problem solving skill was higher when they were taught by problem-based learning with realistic media.

Cefotaxime is a 3rd Generation Cephalosporin and mainly acts by binding to penicillin-binding proteins and inhibits final transpeptidation step of peptidoglycan synthesis, resulting in cell-wall death; resists degradation by beta-lactamase; proper dosing and appropriate route of administration are determined by condition of patient, severity of infection, and susceptibility of microorganism. Indicated in the various conditions like Gonococcal Urethritis/Cervicitis, Gonorrhea, Rectal, Infections Caused by Susceptible Organisms, Prophylaxis of surgical infection. A child of 5 years old of male patient came to pediatrics department with chief complaints of seizures and admitted in pediatrics department-II and his treatment chart was phenytoin 100mg PO BD and valproic acid 200mg – 200 mg – 300 mg Po OD. During his second of treatment child developed fever of 1020F and to reduce the condition physician prescribed cefotaxime 500mg BD IV on 4th day of treatment child developed macular rash all over the body. Better vigilance is necessary for implementation of safe and effective treatment for each individual patient.in order to prevent serious adverse drug reactions of this drug,close monitoring drug treatment course, creating awareness, recognition of the problem and careful management of all the patients who receive medication are essential, because use of cefotaxime causes Colitis, Diarrhea, Elevated blood urea nitrogen (BUN) and creatinine, Elevated hepatic transaminases, Eosinophilia, Fever, Injection site pain, Nausea, Pruritis, Rash, Thrombocytopenia, Transient neutropenia, Vomiting.