Family planning is widely acknowledged as an important intervention towards achieving Sustainable Development Goals (SDGs) three (4) and five (5) as it has proven to reduce maternal and child mortality. Family planning can prevent unwanted pregnancies and unsafe abortions. The aim of this study was to determine various factors that influence the uptake of modern family planning among women of reproductive age in South-eastern Nigeria. The study used data obtained from Nigeria Demographic and Health Survey (NDHS) 2013. Factors considered were drawn from the dataset. Analysis was carried out using Stata version 12.1. Multivariate logistic regression analysis was used to determine relationship between various factors and use of modern family planning methods. Level of significance was set at 0.05. The total number of participants in the study was 2,816. Twelve point fifty seven percent (12.57%) of the participants were currently using modern family planning methods. The highest proportion of use was 25.57% in Ebonyi State, while the lowest was 16.94 % in Imo State. The only identified predictor of use of modern family planning use was educational status. The women who had at least secondary education were almost twice (1.82 times) more likely to use modern family planning methods than those who had only primary education or less (OR=1.82, 95% CI: 1.4-2.4, P<0.001). Measures should be taken to increase female literacy, as this will most likely lead to improved uptake of modern family planning among the respondents.

Photoxidation of palm oil, like other forms of oils/lipids oxidation has adverse effects on the physicochemical qualities of the oil including depletion of essential antioxidants and formation of free radicals which could be injurious to tissues. Unfortunately, this widely consumed edible vegetable oil is usually stored or displayed for sale in plastic containers under direct sun light and unknowingly subjecting the oil to photoxidation. This work therefore sought to evaluate the possible effect of long term consumption of palm oil exposed to light on some reproductive parameters in male wistar rats. Male wistar rats weighing 85g to 120g and aged 19 to 23 weeks were randomly divided into a control and photoxidised palm oil (PPO)-fed groups of five rats each. The control group was fed on normal rat chow while the PPO diet group was fed on photoxidized palm oil diet. The duration of feeding was 13 weeks after which the rats were euthanized, blood samples collected while testes were harvested from them for determination of relevant parameters. The result showed a significantly reduced seminal pH in the PPO-fed group compared with control (P<0.01). Sperm motility (%) and viability (%) were significantly decreased (P<0.01 and P<0.01 respectively) in the PPO-fed group compared with control. The PPO-fed group had significantly decreased (P<0.001) sperm count and a significantly increased percentage of morphologically defective sperm cells (p<0.05) compared to the control. Serum testosterone, follicle stimulating hormone (FSH) and Luteinizing hormone (LH) were significantly decreased (P<0.001, P<0.01 and P<0.001 respectively) in the PPO-fed rats compared with control. In conclusion, long term consumption of PPO diet impairs reproductive function in male wistar rats

A study was conducted to assess effectiveness of structured teaching programme on knowledge regarding psycho social interventions for the caregivers on caring the mental health needs of mentally ill inmates. The study was conducted in Shivamoga Beggar Relief and Rehabilitation Centre. Total samples were 10. Non probability purposive sampling technique was used. A structured questionnaire was used as an instrument to measure the level of knowledge of caregivers. It was seen that the pre - test mean (6.8+_2.7) was lesser than post – test mean (23.7+_1.9). Here p value is (<0.001*) which is highly significant. The study revealed that the 60% samples had poor knowledge and 40% of them had average knowledge in pre- test. But in post-test 80% of samples had excellent knowledge and 20 % had good knowledge. The study concludes that structured teaching programme was effective in improving the knowledge of caregivers regarding psycho social interventions. We have performed Fishers exact test to know the significant association between knowledge and selected demographic variables. We observed that there is no significant association between knowledge and selected demographic variables.

This complete enumeration, cross-sectional comparative record-based study was conducted at a municipal medical college in Maharashtra state, India. First-year MBBS students undergo formative assessment (one terminal examination and one preliminary examination) before they appear for First MBBS University examinations (summative assessment). Marks scored by the First-year MBBS students in terminal and preliminary practical examinations during the seven year period (2011-2017) were statistically analysed. In the terminal practical examination, the gender difference in the average marks scored in terminal practical examinations was statistically significant (Z=2.226; p=0.026) only for Batch 2013, while in the preliminary practical examination the gender difference was statistically significant for Batch 2011 (Z=2.094; p=0.036) and Batch 2017 (Z=2.139; p=0.032). The marks obtained in preliminary practical examination exhibited less variability as compared to that in the terminal practical examination. This study may serve as a springboard towards further research on student assessment in the subject of Physiology

Intravenous induction agents Propofol and Thiopentone are commonly used in obstetric anesthesia. We in the present study tried to compare the effects of Propofol and thiopentone on hemodynamics, Heart rate in the pregnant ladies undergoing Cesarean sections. Methods A total of 60 patients were included in the study. They were randomly divided into two groups. Propofol group (n=30) and Thiopentone group (n=30). The dosage was calculated to body weight 5mg/Kg for thiopentone and 2.5mg/Kg for Propofol. The mean induction time in Propofol group was 20.95 seconds and Thiopentone group as 26.5 seconds. There was smooth induction in 86.67% of the patients of Propofol group and 13.33% had disturbed induction. In the Thiopentone group, 76.67% had smooth induction and 23.33% had disturbed induction. No induction failure was encountered in this study and all patients were unconscious after 45 seconds. The total duration of surgery in propofol group was 70 ± 20 minutes and in thiopentone group was 85 ± 27. The time to extubation in Propofol group was 8.5 ± 2.60 and Thiopentone group was 7.0 ± 3.56. The Arterial Blood gas analysis after surgery shows average values of PaO2 in Propofol group and 87.5 ± 2.1 and thiopentone group 88.6 ± 1.8 and PaCO2 in propofol group 38.6 ± 2.05 and thiopentone 38.4 ± 2.5 mmHg. The mean SBP at the baseline of Propofol group was 124.05 ± 10.5 mmHg, while for Thiopentone group it was 124.05 ± 10.5 mmHg. The mean DBP at the baseline in propofol group was 76.5 ± 10.2 and thiopentone group was 78.8 ± 6.8. The heart rates were 80.5 ± 7.8 beats/min and 83.5 ± 8.8 beats/min in propofol and thiopentone group. The mean changes at the time of induction in heart rate of propofol group were 18 beats/min and the mean change of heart in thiopentone group was 23 beats/min. The mean SBP change during induction in Propofol group was -2.8mmHg and DBP change was -2.0 mmHg. In thiopentone group SBP change was -2.55mmHg and DBP change was -1.3 mmHg. Conclusion: Propofol has rapid actions and does not have any adverse effects on the CVS. The amount of pain produced due to propofol was also lesser compared to the thiopentone group and the induction was smooth in propofol group compared to thiopentone group and overall outcomes of Propofol were better than the Thiopentone group. Therefore propofol appears to better induction agent than thiopentone for obstetric anesthesia

A combination of ethinylestradiol and drospirenone is used as an oral contraceptive and also for the treatment of premenstrual dysphoric disorders, acne and hirsutism. In this study, a derivative spectrophotometric method has been developed and validated for the simultaneous determination of drospirenone and ethinylestradiol. First order derivative spectrum was used for the determination of ethinylestradiol at 211 nm and drospirenone at 298 and 302 nm. The developed method was linear over the concentration range of 0.25-2.5 μg/mL and 20-200 μg/mL for ethinylestradiol and drospirenone, respectively. The within-day and between-day precision and accuracy were acceptable for both compounds (CV<2.5% and error<2.4%). The proposed method was used for simultaneous determination of ethinylestradiol and drospirenone without any separation before analysis

Suxamethonium is the drug of choice for muscle relaxation for endotracheal intubation with its rapid onset and short duration of action. The newly introduced non-depolarizing drug rocuronium has got rapid onset and intermediate duration of action. The aim of the present study was to compare the intubating conditions of rocuronium bromide with suxamethonium chloride. Aim: To compare the onset and duration of action of Rocuronium Bromide and Suxamethonium Chloride. Methods: it is prospective randomized controlled study carried on 90 adult patients with age groups of 20-60 years of either sex. They were posted for elective surgery in MGM’s Hospital Aurangabad. They were randomly divided into two groups of (n=45) each. Group I (R) patients received rocuronium at the dose of 0.9mg/Kg and Group II(S) patients received suxamethonium at the doses of 1.5mg/Kg. Results: In Group I (R) group there were 14 (31%) male patients and female were 31 (69%). In group II (S) there were 14 (31%) male and female were 31 (69%). In group II (S) suxamethonium showed acceptable intubating conditions in 100% of cases at 60 sec out of which 93.24% were excellent. In rocuronium group I(R) 100% cases had acceptable intubating conditions at 60 seconds out of which 77.7% excellent and 22.3% had good intubating conditions the P values were significant. In both the groups there was no significant difference jaw relaxation as well as vocal cord movements. There was the significant difference in response to intubation in Rocuronium group 6 (13%) patients had a mild cough on intubation whereas no patient in suxamethonium group II had any cough. In the Group I 24% patients had slight diaphragmatic movements on intubation and in group II 11% had diaphragmatic movements. There was no significant rise in HR difference in group I and group II preoperative, post muscle relaxant, 0 minutes after intubation, 5 minutes after intubation, and 10 minutes after intubation. Conclusion: Rocuronium bromide at the dose of 0.9 mg/Kg produces excellent and good intubating conditions in patients although slightly inferior to that provided by the Suxamethonium 1.5mg/Kg but there is more hemodynamic stability with rocuronium then suxamethonium. Therefore Rocuronium bromide may be considered as safe and good alternative to suxamethonium for endotracheal intubation. Hence rocuronium bromide can be used for a rapid sequence of induction and intubation if there is no prediction of difficult intubation

In present study an attempt has been made to prepare new polymers depending on Cellulose viscous pulps to study the adsorption activity for removal of heavy metal ions from single aqueous solution. Barley and Corn Straw have been used for the extraction of crude pulps. Grafted viscous pulp has been prepared by using acrylamide as a monomer and benzoyl peroxide as an initiator in different ratios at different conditions of temperature and time. Epichlorohydrin was used as cross linking agent under the optimum conditions of grafting for the preparation of Grafted cross linked viscous pulps. The grafting percentage, grafting efficiency percentage and swelling behavior of new polymers were also studied. The structures of these compounds were established by using FTIR and elemental analysis. For the removal of chromium and nickel ions from an aqueous single metal solution the graft pulp copolymer and grafted crosslink viscous pulps were used as adsorbents. The results of the present study revealed that the ratio of pulp to monomer 1:4g/g, ratio of cellulose to initiator 1: 0.3g/g, grafting time 3 hours and grafting temperature 70 ◦C showed the optimum conditions of grafting. All the polymers synthesized in the present study showed the activity to remove heavy metal ions from an aqueous solution and the maximum activity have been shown when the cross linking agent was used in the synthesis

This complete enumeration, cross-sectional comparative study was conducted on 62 (29 females; 46.77% and 33 males; 53.23%) first-year MBBS students of a municipal medical college. After explaining the purpose of the study and orienting students about the OSPE procedure and its marking system, written informed consent was obtained from those willing to participate in the study. In the traditional practical examination (TPE), each student tested near and distant vision, which was followed by viva voce on the same procedure and overall marks (out of 20) were allotted by the examiners. During the OSPE, the examiners were provided with a pre-validated checklist containing 10 steps each for examining near vision and distant vision. These examinations were to be carried out within an allotted time of 5 minutes each. One mark was given for correct performance of each step mentioned in the checklist. The maximum marks obtainable were 20 marks - 10 marks each for testing near vision and distant vision. The difference in the overall mean TPE and OSPE scores was highly significant (Z=11.79; p<0.00001). However, the gender difference in mean scores in both TPE and OSPE was not significant. While testing near vision, 69.35% students ensured adequate lighting in the room while 79.03% students tested visual acuity both with and without glasses for subjects who wear glasses. While testing for distant vision, only 24.19% students enquired whether the subject had been prescribed glasses earlier. Thus, for these three OSPE steps, the difference in scores while testing for near and distant vision was statistically significant. Students obtaining relatively lower scores would require remedial training. A larger study would be necessary in order to generalize the results.

The purpose of the study was to find out whether school feeding programme affect retention of learners in primary school education. The study was done in 10 primary schools in Mogotio Division. The unit of analysis constituted of 70 respondents (Head teacher/ Heads of school feeding program, Teachers, parent representatives and pupils). Purposive random sampling was used in this case whereby all the 70 respondents were picked to fill the questionnaire. Descriptive statistics analysis was used whereby the SPSS (Statistical Package for Social Sciences) programme is used. On retention, the study concludes that there were transfer cases in the center. Most parents take their children to private schools citing many reasons, which range from poor performance in public early childhood education centres, poor teaching methods, lack of skilled staff in public centres, and to a little extent due to poor feeding habits in the local primary schools. The findings of this study may be of use to the various primary schools for it would assist them understand better the issues related to school feeding programmes. This would see school managers in the various centres provide learners with balanced feeding programs and create awareness to parents on its importance to proper learning and holistic development of their children. The study would also go a long way to helping the government in making relevant policy to safeguard the wellbeing of primary school learners by providing well balanced feeding programs to these centres as well as budgetary allocation to the same.

Performance management is the process by which organisations set goals, determine standards, assign and evaluate work, and distribute rewards. But when you operate across different countries and continents, performance management strategies cannot be one dimensional. HR managers need systems that can be applied to a range of cultural values. This paper briefly looks at the various perspectives on this phenomenon.

The objective of this research is to find out the influence of warm compression on childbirth pain active phase stage I. this research used Quasi Eksperimental method with non equivalent control grup pre-test and post-test approach. Technique of collecting data used Accidental sampling with 30 samples of respondents. Collecting data used T-test. From the statistical test paired T-test result showed T value 6,959 with Asymp sig: 0.000 when 0.000 < 0.05. It’s means the influence of warm compression on childbirth pain of active phase stage I.

Psoriasis is a common chronic, recurrent, immune mediated disease of the skin and joints. It can have a significant negative impact on the physical, emotional and psychosocial wellbeing of affected patients. Many Ayurvedic texts have explained skin diseases, which resembles Psoriasis. According these references, Psoriasis can be considered as the vitiation of Vata and Kapha. The “wrong diet” is the major link for disease manifestation. Hence elimination of this „wrong diet‟ & implementation of corrective diet plays a major role in breaking the „Samprapti‟. The Dietary interventions for Psoriasis or any skin disease can have the following seven components- Nidana Parivarjana, Avashta anusara ahara sevana, Matra consideration, avoiding unwholesome diet, observing proper mental status during food intake, Prescription of specific disease related diet, and very important one- Education about Aahara. The article intends to uplift the importance of holistic approach towards diet prescription rather than only disease specific diet.

We propose a non-monotone wedge trust region method for derivative-free optimization. Wedge trust region method based on traditional trust region is designed for derivative-free problems, and the non-monotone strategy is efficient to solve the trust region method. This paper combined the non-monotone strategy into wedge trust region methods, and the computational results proved the efficiency of the new composite strategy.

The study was conducted to determine the Etiological basis of dizziness in patients attending ENT clinics in Pakistan. It was a prospective, multicenter, observational, non-interventional, cross - sectional study conducted in five cities across Pakistan, between August, 2014 and March, 2015. The study population included male and female patients attending the outpatient clinics of ENT departments. The patient population was of 18 years of age or older presenting with dizziness. Based on the initial screening patients were diagnosed as vertiginous or non-vertiginous. Patients’ written authorization to use or disclose the patient’s personal or health data was obtained. Benign Paroxysmal Positional Vertigo was the commonest diagnosis (67%) followed by Meniere’s disease (16%) in patients who presented with vertigo attending outpatient departments in ENT Clinics. At baseline visit, 38.3% of the patients were categorized as moderately handicapped. Medication was offered to three quarter of the patient population (69%), while rest of the patients were offered maneuver and medication both (20.8%) and only maneuver (3.5%). DHI was used at the baseline visit and post treatment as well. It was observed in the study that the DHI score was significantly improved in all diagnosis groups after the treatment. At the end of four weeks majority of the patients were categorized mildly handicapped (91.3%). Majority of the patients diagnosed as BPPV were prescribed anti-vertiginous medicines (70%) followed by anti-emetics and pain killers. Amongst the patient reporting with dizziness the commonest diagnosis was Benign Positional Paroxysmal Vertigo followed by Meniere’s disease. Based on pre and post-treatment DHI scores, medication and medication with maneuver helped the patients presenting with dizziness in improvement of Quality of Life.