Abdominal trauma is responsible for 10% of all the traumatic deaths. With progressing technologies and civilization, the profile and pattern of abdominal trauma is changing. This study was conducted to look into the pattern and early treatment outcome of abdominal trauma in our local setting. Prospective and observational study from 1 February 2017 - 1 February 2018. Records of patients with abdominal trauma were collected from the day they were admitted to final outcome of management at discharge or death. Data analysis was done using IBM® SPSS® Statistics Version 22. Forty-nine patients were admitted with abdominal trauma. The majority was male (87.8%) and Malay (61.2%). Mean age was 31.6 years old (range 3-75). The most frequent type was blunt trauma (95.9%); its most common cause was motor vehicle accident (85.7%). Abdominal trauma was associated with other injuries in 75.5% of cases. The most common associated injuries were chest injuries (44.9%), followed by skeletal (40.8%) and soft tissue injuries (26.5%). FAST were done on 89.8% of patients, CECT scan (61.2%) and ultrasonogram (18.4%). The liver was injured in 49.0% of patients, spleen 49.0% and bowel 14.3%. Fifty-one percent of patient had single abdominal organ injury, 16.3% had 2 organs and 24.5% had 3. The majority of patients were treated non-operatively (61.2%). Four patients died of polytrauma (8.2%). Most trauma patients are young male. Abdominal trauma is commonly associated with other injuries but most can be treated non-operatively

The study of Sino-African cooperation is evolving as a very significant area of research. So far, students, scholars, diplomats, journalists and other observers have produced an avalanche of works on the subject, each focusing on an aspect or aspects of the theme, from different perspectives. These differing views and perspectives convey opinions that converge and or diverge in substance and analysis, even as they enrich (and sometimes confuse) our understanding of the evolving cross continental reality. In view of this, this paper studies the theme of Sino-African cooperation with a specific focus on analyzing the issues/opinions that exist along three different schools of thought. The paper defines the perceptions vis-à-vis the underlying factors that drive their expressions, and submits that interests and changing international circumstances form the foundation upon which not only perceptions are made, but how responses are constructed.

The year 2018 marked the 40th anniversary of the founding of the ASUU. As has been seen, during these forty years, Nigeria had experienced a great deal of political and societal unrest, and by any standards the history of the ASUU has been an eventful one. The formation of ASUU came at a time when the oil boom in Nigeria was beginning to decline and when the country was faced with the consequences of the failure of its rulers to utilize oil wealth to support production and a credible welfare system. Military dictatorship had become institutionalized and had eroded many fundamental freedoms in the society. ASUU‟s establishment in 1978 was mainly driven by the need to address the deterioration of education in the country especially under the military rule but the timing of the formation of the union is also indicative of the fact that it emerged into what was already a highly politicized environment. The paper is a review and an opinion based which assesses the relationship of ASUU with Military and Democratic regimes vis-à-vis the government education policies and the application and or respect for institutional autonomy of universities by various regimes in Nigeria. The paper found that ASUU struggles remained and continue to feature irrespective of the different regimes in Nigeria. It also concludes based on available historical records that the military regimes have had a more preponderance of abuse of universities administrative autonomy in comparison with democratic regimes.

Automatic building change detection required for metropolitan and urban planning , industrial city planning, road and highway planning, unauthorized construction detecting, stopping any new construction on risky or highly dense areas, planning for homeland security etc. This research proposal aims for automatic building change detection and 3D map generation using multispectral imagery and 3- dimentional height data. The goal for this research proposal is to detect building changes with precise geometric accuracy and use the detected building changes data to generate 3D building map. High resolution aerial and satellite imagery and highly dense height data from LIDAR can detect building change and can generate an accurate up-to-date 3D building map.

Fatty liver disease in absence of alcohol abuse is now emerging as a major health burden in the world. It represents the hepatic manifestation of the metabolic syndrome, a variably defined aggregate of disorders related to obesity, insulin resistance, hypertension and hyperlipdemia. To study the various anthropometric parameters in non-alcoholic fatty liver disease patients. The present study was conducted in the Department of Medicine on 65 patients with ultra-sonographic finding of fatty liver disease with no history of alcohol. Various anthropometric measurements like neck circumference, height, weight, waist to hip ratio, BMI were measured and recorded. For analysis, statistical software SPSS latest Version 20.0 was used. The results were analysed using the appropriate statistics. In our study we found that 45 patients ie 69% are obese and maximum number of the patients ie 95% males and 100% females have their waist hip ratio above the cut off value and 64% male and 98% female have neck circumference more than the cut off value . The study concludes obesity, neck circumference and waist: hip ratio was associated with NAFLD in our study

GV Black proposed a classification for recording caries which served the purpose efficiently for almost 100 years. Owing to its inbuilt shortcomings and current knowledge on cariology and induction of modern technology and restorative materials, Black‘s philosophy has been rendered despondently ineffective. Though various more comprehensive classifications and caries management systems have been evolved but Black‘s classification remains popular tool for recording of caries worldwide. The similar situation is found among dental professionals in Pakistan. This study was planned with the objective to know the reason for not using other classification systems and awareness about the existence of newer systems among Operative Dentistry / cariology specialists or teachers. A content validated close-ended questionnaire was used as a tool for this survey based study. The questionnaire based on two-point Likert scale with options of ―Yes ―and ‗No‖ comprising of ten simple queries regarding Black‘s caries classification was sent personally to all those who showed willingness to participate in the study and was recollected within 15 days. 85% of the participant agreed that Black‘s classification focuses on treating dental cavities and not the carious process itself and 95% were aware of existence of more conservative modes of caries classification. Majority confirmed that Black‘s classification isn‘t compatible with minimal interventional approach to dental treatment. Even then, this is the chief classification that is followed in dental schools in Pakistan. Black‘s classification isn‘t well-suited for existing philosophy for caries management and dental profession should switch over to already existing more compatible classification.

A novel therapeutic use of Ethosuximide has come to light with the findings of powerful analgesic effects in experimental models as well as in humans.The analgesic effects of Ethosuximide were explored in various nociceptive models. Following intraperitoneal administration, ethosuximide dose-dependently reversed chemotherapy induced peripheral neuropathic pain and capsaicin-induced mechanical Allodynia, and produced antinociceptive effects in the rat-tail flick reflex test in male rats. Analgesia Produced by Ethosuximide is as good as that Produced by Gabapentin in Acute Pain models. Analgesia produced by extract of Ocimum sanctum is as good as that Produced by Ethosuximide, when compared with these drugs individually in acute pain models. In Neuropathic Pain induced by Ethosuximide Produces Significant Analgesia in Thermal Hyperalgesia Models and significantly reduces Cold Allodynia. The Ethosuximide in neuropathic pain relievers Thermal Hyperalgesia as well as cold Allodynia.

The peripheral intravenous (PIV) catheter is the most used vascular access device for administration of medications in hospitalized neonates. To evaluate the impact of an educational program for nurses on assessment, management, and prevention of peripheral intravenous complication in neonatal intensive care unit. A quasi-experimental research design was used in the current study. The study sample consisted of a convenience sample including all available nurses (88) at University Hospital, General Hospital and Health Insurance Hospital at Beni-Suef. Two self-administered tools for nurses; part I, socio-demographic data for nurses, part II, nurses’ knowledge regarding IV fluid and part III, nurses` knowledge regarding IV complications and neonate's needs of management and observational checklist for nursing practice about IV infiltration or extravasation in neonates. The findings revealed that there was a highly significant difference in the pre and post-intervention program and their knowledge and practice, the study stated that there was an improvement in their knowledge and practice towards prevention and management IV complications. Educational intervention had a significant role in increasing knowledge and practice of universal precautions among nurses. It is recommended to exert more efforts in developing and applying similar educational endeavors for nurses in NICUs these educational initiatives need to be boosted periodically to ensure sustainability of their positive effects on knowledge and practice

The prevalence of nutritional deficiency especially the iron deficiency anemia is very common in pregnant females of developing countries, more so in the rural and tribal population. We in the present study tried to evaluate the prevalence of anemia in 300 females in 1st, 2nd and 3rd trimester attending ANC in Rajiv Gandhi Institute of Medical Sciences and Hospital [RIMS], Adilabad. The Institutional Ethical committee permission was obtained for the study. 100 patients in each of the three trimesters were included in the study all the pregnant ladies were healthy without any significant medical disorders. The blood samples were collected from the peripheral vein in 5ml vacutainer and send to the Department of Pathology for examination. The Department of Pathology, RIMS Adilabad uses 5 part hematology cell counter (Sysmex Xn 1000 manufactured by Sysmex India Pvt. Ltd Mumbai) to obtain all the hematological parameters. The mean levels of hemoglobin in n=100 patients of 1 trimester were 8.38 ± 1.5 gm/dl, the mean levels of Hb in n =100 patients of 2nd trimester was 8.34 ± 1.24 similarly the mean Hb levels of n=100 patients in the third trimester was 7.75 ± 1.02. The hemoglobin levels of 10.0 – 10.9 gm/dl was classified as mild anemia in our study 10.83% of pregnant ladies had mild anemia. Between 7.0 – 10.0 it was classified as moderate 76.67% of pregnant ladies had moderate anemia, < 7.0 gm/dl was classified as severe 12.5% had severe anemia and < 4.0 gm/dl was classified as very severe (decompensated) anemia no case of very severe anemia was present in this study. The presence of nutritional deficiency anemia is very common in the tribal pregnant females of Adilabad. Although all the pregnant females receive duly the dose of iron and folic acid supplementations during the Antenatal care there needs to be good nutritional supplementation provided to reduce the burden of anemia in the pregnant females of this area.

This study aims to examine and analyze the influence of transformational leadership, organizational culture, and work motivation on employee performance of PT XYZ. The sampling method used is proportional random sampling. From a population of 100 employees with a sample of 80 employees. The method of analysis used in this study is multiple linear regressions. The results showed that transformational leadership, organizational culture, and work motivation together (simultaneously) have a significant effect on performance. Partially transformational leadership and organizational culture have a significant positive effect on performance. Organizational culture and work motivation have a significant positive effect on performance.

The blood pressure changes are sometimes reflected by changes in Intra-ocular pressure. We in the present study tried to evaluate the changes in IOP with the change in blood pressures in borderline hypertensive to known hypertensive patients graded according to recent ACC/AHA guidelines of hypertension in male and female patients visiting Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad. The study was carried in the Department of General Medicine and Department of Ophthalmology. A total of (n=222) patients were involved in the study. Subjects with the history of glaucoma, ocular hypertension, corneal abnormalities or those who underwent ophthalmic surgeries were excluded from the study. Systolic blood pressure was determined at the point at which the Korotkoff’s sounds become audible (first phase) whereas the diastolic BP was measured at the point at which the sounds suddenly become faint (fourth phase of Korotkoff’s sounds). Blood pressure measurements were determined by taking the mean value of three readings at 30 minutes interval. The IOP was measured in the Department of Ophthalmology, of both eyes with help of Goldmann applanation tonometer using 2% fluorescein eye drops by the same examiner to avoid any difference. In this study, we included a total number of (n=222) patients out of which males were (n=120) 54.54% and female were (n=102). The mean age of the individuals involved in the study was 52.25 ± 12.5 years. The overall mean IOP in males was 18.85 ±6.65 [95% CI 17.7 ± 20.0] similarly the overall mean IOP in females was 17.54 ± 5.83 [95% CI 16.4 -18.7]. The differences between the IOP of male and female were statistically insignificant. The Pearson's correlation coefficient was measured for each subgroup of hypertension among the male the all the subgroups showed the positive correlation of IOP with blood pressure and a strong correlation was shown by Hypertension stage II. In females, the correlations were also positive in all subgroups however in hypertension stage II showed weak to the moderate correlation coefficient. There is a strong positive correlation between the blood pressure and IOP, especially in males. Considering IOP as one of the screening means of glaucoma detection we would recommend that every hypertensive patient undergo IOP check regularly to prevent glaucoma.

Parenting styles have been cited to have brought conflict between young people and their parents on values or ethical principles, and morality or religion. This is an element which is present in almost all cultures. Therefore, parenting style may have an influence on adolescent self-esteem, autonomy, independence and openness. This study focused on the influence of parenting styles on adolescent autonomy and selfesteem among students in secondary schools in Wareng district, in Uasin Gishu county – Kenya. It views family parenting styles as the main precursors towards adolescents‟ decision making, self-reliance and conformity. The objective of the study was to establish the relationship between parenting styles on adolescent autonomy and selfesteem. It targeted a population of 23027 adolescents. A sample size of 394 was drawn from 10 secondary schools through stratified random sampling. The researcher employed causal-comparative research design. This research was based on Carl Rogers‟ Self Theory and Adult Attachment Theory by Bowlby, where both theories are used to explain autonomy and self-esteem development. A self-administered questionnaire was used, examining different parenting styles and aspects of autonomy, scored on a five-point Likert scale and a self esteem questionnaire, scored on a threepoint scale. To ensure the validity of the research instruments, the researcher used expert judgment. On obtaining complete data, it was organized, edited, tabulated and coded to facilitate effective analysis. Hypotheses were tested at 5% significance level. Data analysis was done using Statistical Packages for Social Sciences (SPSS), where both descriptive and interferential statistics were used. The findings revealed that, there was a significant positive relationship between authoritative parenting style and adolescent autonomy and self-esteem, while authoritarian parenting showed no significant relationship with adolescent autonomy. Further, the findings revealed that permissive parenting style does not yield autonomous adolescents, while uninvolved parenting has an influence on adolescent autonomy. However, the study generated information on parenting styles, self-esteem and autonomy related aspects, and these might be of value to school stake holders, more so the parents who have a direct influence on adolescent autonomy.

A zero coronary calcium score was obtained in out study in 28.33 % participants of which only 4 (13.35% of cases) patients who developed ACS had a zero CACS, while 13 (43.3% of controls ) people among control had a zero CACS. In this study, we analysed the distribution of Coronary artery calcium scores in patients of ACS who do not have traditional risk factors namely obesity, diabetes, smoking, dyslipidemia, hypertension was significantly different as compared to asymptomatic people without CAD and having none of above mentioned risk factors. Even though there were no traditional risk factors coronary calcium scores were significantly higher in patients who developed ACS as compared to controls

This study aims to determine the relationship between employee motivation and the level of urban services, especially the service of urban garbage at the Environmental Office of Gorontalo City. The research method using descriptive method, data collection techniques using questionnaires and direct observation in the field. While data analysis using regression analysis technique and correlation with research scope on employee motivation dimension and service level of urban area. The result of the research showed that employee motivation motivation 57,14% employee have high work motivation with average score 81,8 and 42,86% employee have low work motivation. While in terms of urban service level shows that as many as 27.14% of employees stated high service level with an average score of 63.86 and as many as 71.43% said stating employees the level of service is as well as 1.43% said stating employees low service levels . correlation coefficient r = 0.346, there is correlation between employee motivation and level of service of urban with weak category. Regression equation Y = 31.4 + 0.397 X or contribution / influence of independent variable of employee motivation to dependent variable of urban service level equal to coefficient b = 0,397. There is a positive relationship between employee motivation and the level of urban services but the motivation to the employees of the Gorontalo City Environmental Office has little effect on the level of urban services.

Adjuvants are commonly used during general anesthesia in order to reduce the requirements of the general anesthetics. Dexmedetomidine is one of an important general anesthetic adjuvant used because of its useful properties like sedative, analgesic and anxiolytic. It has other important useful properties like cardioprotection, neuroprotection and minimal respiratory depression. We in the present study tried to evaluate the efficacy of dexmedetomidine in different concentration when used as an infusion during general anesthesia in patients undergoing routine abdominal surgeries. Methods: the study was conducted in Rajiv Gandhi Institute of Medical Sciences and Hospital [RIMS], Adilabad. The patients were selected from those undergoing abdominal surgeries. They were randomly divided into three groups. Group A (n=20) patients acting as controls received IV saline 10ml. Group B received Dexmedetomidine 0.5 µg/Kg/hr IV and Group C received Dexmedetomidine 1 µg/Kg/hr IV. Anesthesia was maintained with N2O to O2 mixture of 60:40. MAP values were maintained within 25% of the baseline values. Recovery times from tracheal extubation, modified Alderete score, VAS scores, tolerating liquids, and passage of flatus was noted. Results: The mean duration of surgery in Group A was 145.45 ± 20.06 minutes, mean duration of anesthesia was 180 ± 25 minutes. The mean duration of infusion of dexmedetomidine was 160 ± 20. For group B the values were 130.12 ± 24.75, 160.0 ± 22.0, and 140 ± 90 minutes respectively. The values for group C were 121.59 ± 18.16, 145 ± 26 and 125 ± 15minutes. The P values between group A and C were significant in Mean duration of anesthesia and mean duration of infusion. The time to suction catheter response was significantly higher in Group C. The modified Aldrete scores in Group B and Group C were found to be significant when compared to Group A similarly postoperative nausea and vomiting was significantly lesser in group C and VAS scores of pain were also significantly lesser in the Group C as compared to Group A and B. conclusion: Dexmedetomidine is low concentrations may be useful to provide sedation and mild analgesia at the same time preserving the cardiovascular and respiratory functions. Therefore dexmedetomidine when used as a general anesthetic adjuvant during routine abdominal surgeries reduces the sevoflurane and opioid requirements and results in better recovery of the patients.