This study dealt with the relationship between school feeding program and pupil`s attendance in primary schools in Moshi rural District, which guided by reinforcement theory proposed by Skinner. The study used correlational research design. 5 primary schools were used for the study with 5 teachers from each school, and 15 pupils from each sampled school. Probability sampling was utilized to select respondents‟ questionnaire were the main tools for data collection. The data analysis used percentage and frequency to describe and summarize the research variables. The study concluded that the provision of school feeding program does not provide balance diet to pupils since the food provided do not contained five types of food, school feeding program influenced pupils enrollment and attendance at large number which accelerated performance in primary schools, school feeding program influenced pupils performance at high level, the implementation of school feeding program facing challenges such as lack government support, poor parent contribution and the issue of free education. The recommendations which can be made were community and parents should be given education on the importance of school feeding program in primary schools, the community should be involved on contribution of school feeding program, the government should elaborate the issue of free education.

Adverse events (AE) are an ongoing challenge in healthcare. Apart from having a significant impact on patient morbidity and mortality, AE also result in increased healthcare costs due to longer hospital stays. However, little is known about AE occurrence and their risk factors in Tunisian healthcare system. To determine the incidence of severe adverse events (SAEs) and identify risk factors associated with SAE during hospitalization in a Tunisian University Hospital. A case-control study with incident cases was conducted including all patients hospitalized in the Teaching Hospital Farhat Hached within a one-month period in 13 clinical units. Medical records for caseswere selected by using stratified random sampling. The sample size was proportional to the number of admissions in each of 13 clinical departments. Controls were matched by the service and the duration of hospitalization preceding the appearance of SAE. Risk factors were collected and analyzed by conditional stepwise logistic regression. Overall, 304 controls were matched to cases, totalizing 456 patients. Multivariate conditional stepwise logistic regression analysis showed that night-time admission, hospitalization in the last six months, difficulty of communication, longer surgical operation, biopsy, presence of at least two medical devices, exposure to peripheral venous catheter, exposure to more than four medications and blood transfusion were considered as independent risk factors of SAE occurrence. Our results highlighted care-related risk factors such as catheters, blood transfusion and polymedication, which underlined the need to strengthen the care safety by focusing efforts especially in the field of hospital hygiene and infection control as well as pharmacovigilance

This study aims to produce a model of Introduction to Accounting Learning Development and Utilization of Document Content. Lecturers have an important task, which is to determine the concept of learning that is in accordance with the document content, which is a method of learning through a gradual process. This goal is based on current conditions. The facts after the introduction of the introductory course of content-based accounting study documented the results of changes in the teaching and learning process, where a lecturer who used the method of learning process with question and answer, contributed 44 percent and 36 percent of lectures. KKNI's competence in knowledge acquisition contributes 27 percent, managerial ability contributes 30 percent and work ability contributes 26 percent. Students and Lecturers in the Assumption of difficult material contributes as much as, 29 percent, Motivation to learn to contribute as much as, 33 percent, and learning techniques to contribute 25 percent. The quality of learning in Document Content contributes to, 26 percent, and Lecturer Readiness contributes, 38 percent. The transparency of knowledge given by the lecturers to the students gives positive results, where the students become active and creative, motivated to learn to understand the material independently and can develop its potential, by optimizing its capability by capturing the phenomenon that occurs in the business world.

Abstract: Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working age adults, it is a serious sight threatening complication of diabetes. Hs-CRP is a marker of low-grade inflammation and its levels are raised in patients with diabetic retinopathy. The current study was undertaken in 60 subjects. 30 diabetic retinopathy patients and 30 non diabetics as normal control group. The aim of the study was to assess the serum levels of hs-CRP in diabetic retinopathy patients. hs-CRP is significantly much higher in diabetic patients with retinopathy compared to control group. TC, TG, LDL-C and VLDL-C levels where significantly elevated and HDL-C levels were significantly lower in cases when compared to controls. Hence it is concluded that the serum levels of hs-CRP appear to be useful as markers of diabetic retinopathy and provide valuable information for proper medical intervention.

Examination malpractice or academic dishonesty has become a concern to education stakeholders the issue of examination malpractice is a national emergency. This study sought to examine institutional dynamics that contributes to examination malpractice in public universities. Kenya. Descriptive research design was used. Simple random sampling techniques were used in choosing the sample size. The target population for the study was the student counselors and third year students from the school of Education. The research instruments used to collect data were questionnaires and interview schedules. The analysis of data was done using both qualitative and quantitative. It was found out that that lack of accommodation facilities contribute significantly to examination malpractices as most students travel long distances to and from the university campus instead of revising or studying in the library leading to little time left for studies. It was therefore recommended that there is need for the institution to provide accommodation facilities, the findings and recommendations from this study will go a long way in helping the university senates to review university examination policy in Kenya and come up with appropriate strategies to fight institutional factors that contribute to examination malpractices in universities in Kenya

Kebaya was born in Indonesia, especially in Java, then spread throughout the archipelago with a variety of cultural adjustment that enriched its form. Some designers start looking for ideas for preserving the cultural heritage through community activities kebaya lovers who want to develop the business sector with the creative industries by empowering home sewers. The method used is descriptive, while verification through hypothesis testing, modeling approaches use SEM. The results of the research reveales that creativity, supported by Quality of Service has a strong influence, resulting in the designers are difficult to develop their efforts because of the customers’ image to the rules / grip of Kartini kebaya, Kerancang, or other old models which are still maintained. Apart from the taste of customers constantly changing, causing the designer difficult to standardize Kebaya models that will be sold. In addition to its impact to the Customer Value less balanced between the value / benefits to be obtained at a cost that will be incurred. Customer Loyalty which was expected to last a long time in fact customers are beginning to miss the kebaya Kartini and feel tired of Kebaya Modification although not all customers are turning to other older models of Kebaya.

Evaluation of strategies in Kenya may be done either quantitatively or qualitatively. This is to ascertain whether the process of implementations will succeed in attaining the objectives or not. This study sought to investigate the implementation dynamics of strategic plans in secondary schools in Masaba north-sub county, Nyamira County, Kenya. The study used descriptive research design to get the information under investigation. The target population consisted of: 1 Sub county Education Officer (SCEO) and 31 Principals. The study used purposive sampling and simple random sampling. The research instruments used to collect data was questionnaires and Interview schedules. The findings of the study show that during the implementation of strategic plans school environment affect implementation of strategic plans through effective Institutional policies which reflect the picture of school needs, The Education policy makers would find this study useful in spearheading a campaign to foster a positive attitude among stakeholders who have the implementation dynamics of strategic plans in secondary schools, also to bring forth a practice where major players in schools adopt a willingness to work and bring changes in performance in all the departments in an institution to improve on strategic planning process.

Agile has fast become the now preferred approach to project management. The traditional, sequential approach to project management is a formal, documentation heavy process to running and managing projects. The transition from a sequential approach to an agile approach to project management, has proved challenging. One of the key areas of concerns for project managers, has been how they could effectively monitor, track and forecast the project deliverables and progress within an agile approach to projects. Agile is a light weight, leaner approach to running projects, however in this, the traditional mechanisms by which a project manager could track the progress of work, is no longer available to project managers. However, the concept of a wall or a storyboard to highlight and track work, has proved incredibly useful for the project team as well as the project manager alike. The aim of this manuscript is to introduce agile and the way storyboards have evolved to become one of the most powerful tools available to project managers within agile projects.

Art elective course combinations offered in Senior High Schools hinder Art students from offering some Art program at the Tertiary level. The need therefore to assess Art and allied programs offered at the tertiary level. A mixed method approach involving qualitative and quantitative research strategies was adopted for the study. The study revealed that visual art students are limited in offering some courses at the tertiary institutions as most visual art students have no idea of the program they want to study in the tertiary level of education. The study, therefore recommends to stakeholders to ensure that orientations and seminars are conducted in pre-SHS and SHS to help students to choose relevant courses to be offered at the tertiary level.

Abstract: The study aims to find out root cause for insufficient centrifugation and sample aliquoting of blood samples in clinical chemistry laboratory. Blood samples centrifuged in the laboratory were aliquoted by technicians in to 1.5 ml eppindorf cups for placement in to automated chemistry analyser. The aliquotes were allowed to settle for 1 hour and observed for presence of red rim of settled RBC at the bottom of the cups, indicating insufficient centrifugation and sample aliquoting. Frequency of such samples were analysed for time of day, type of sample tube, amount of residual serum/plasma after aliquoting, origin of sample from hospital departments. Total 13491 sample tubes analysed in 20 days at Biochemistry laboratory of New civil hospital Surat. There were 248 samples showing red rim of RBC at the bottom of the cups. Out of 248, samples received at night constituted 78%. Serum sample have 3 times chances of having insufficient centrifugation and sample aliquoting as compared to fluoride plasma. 86% of sample had residual serum/plasma of <200 ul. Neonate sample have 7 times chances of having insufficient centrifugation and sample aliquoting as compared to adult samples. 97% of samples having insufficient centrifugation and sample aliquoting were received from wards while only 3% were received from OPD. Under filling of collection tubes, neonatal samples, samples collected in plain vacuum tubes, samples collected by phlebotomist on duty at night are root causes for insufficient centrifugation and sample aliquoting.

The study examined attitudes of secondary school teachers toward learner centered approach in Hanang‟ District. This study used self-determination theory and Meta cognition theory in theoretical review. The employed cross sectional survey research design. The target population included all secondary school teachers, students and academic masters in Hanang‟ District. The sample consisted 5 secondary schools, 20 teachers was sampled, 4 teachers from each sampled school, 60 students where 12 students and 1 academic teacher from each sampled school. This study used questionnaires as research instruments. Test-retest reliability method was used to calculate the coefficient of correlation by using Pearson product coefficient rule. The study concluded that teachers were not using learner centered method since they tend to use only group discussion method of learning which is not enough for teaching, learners were interested in learner-centered methods that allowed students were in class for discussion, debate, field trips and brainstorming while learner centered preferred by teachers were role play, drama, class discussion and brainstorming. The recommendations which can be made is the government should fund some learner centered methods such as field trips and projects, the Ministry of Education and vocational training through the school managers should encourage teachers to use the preferred learner centered methods which do not need the use of a lot of resources. And schools should provide and arrange activities in line with learner‟s interest.

Abstract: Type 2 diabetes mellitus has become a leading cause of morbidity and mortality world over. Insulin resistance plays a key role in the development of diabetic dyslipidemia, plasma lipid abnormalities contributes to the risk for atherosclerosis and coronary heart diseases in majority of patients with type 2 diabetes. The aim of the study was to assess the serum lipid profile in type 2 DM patients without and with complications. The current study was undertaken in 90 subjects. 30 diabetics without complications (group I), 30 diabetics with complications (group II) and 30 non diabetics as normal control group (Group III). The serum total Cholesterol, Triglycerides, LDL-C and VLDL-C levels were significantly much higher in diabetic cases with complications compared to cases without complications and HDL-C levels were significantly lower in cases of both the 3groups when compared to controls. The elevation of serum total Cholesterol, Triglycerides, LDL-C and VLDL-C levels were significant in both the study groups when compared to controls. We found significantly lower levels of HDL-C in diabetic cases with complications when compared to cases without complications. The lowering is significant in both the study groups when compared to control. Hence it is concluded that the serum lipid profile levels appears to be useful to prevent the diabetic complications and provide valuable information for proper medical intervention.

To assess learning readiness skills on digit span paired and associate learning test among Government and Shantytown School Children. Sample consisted of 50 children: (n= 25) government school and (n= 25) was taken from shantytown school of Lahore with age range of 5 to 9 years. The subtests of Wechsler Memory Scale (Paired Associate Learning Test and Digit Span) were used to assess the learning readiness skills of children. The result of the findings indicates that there was significant difference between government and shantytown school children. Government school children perform better than the shantytown children. It should be necessary for parents to concentrate and improve basic skills of children and then got admission in school. When they have some exposure of basic skills then child can easily communicate and able to learn.

Human resources are an asset and function as capital in business organizations, improving employee performance is an important thing for companies to be more developed. This study aims to analyze the factors of motivation to work performance on work performance of operational workers at CV. Tri Marina Jaya Surabaya. The method in this research is quantitative; the research sample is the operational of ticketing company in CV. Tri Marina Jaya Surabaya as many as 25 people. The result of research of motivation factors together has a significant influence to the work performance of operational workers in CV. Tri Marina Jaya Surabaya, and physiological needs have a dominant influence on work performance.

This study explores (a) what Greek school principals value as important both for themselves as principals (desired values) and for other principals in school administration (desirable values), directly and indirectly; and the Greek school principals opinions (b) about the factors affecting their personal and professional values and (c) about the importance of values in educational administration. Twelve principals were invited to decide upon vignettes (hypothetical scenarios) for their values indirectly to be unraveled, whereas semi-structured interviews were applied for the participants‟ values directly to be investigated and the other two research questions to be answered. The data were analyzed with the qualitative content analysis. A consistent finding emerged between the principals‟ desired and desirable values, explored both directly and indirectly, was the prevalence of the values of consequences for immediate clients (students, educators and parents) and collaboration. Regarding the factors impacting on principals‟ personal values, family, friends, and the Christian religion were mentioned as highly influential, while the principals‟ professional values were shaped mostly through their professional experience and their career path in Greek educational administration. However, interestingly, the principals‟ immediate supervisors seemed to affect mainly negatively the participants‟ professional values. These findings were found to reinforce and extend the research indicating the significance of values in educational administration, and they are discussed in terms of their implications for value-led principalship and principals‟ professional development