Tuberculosis (TB) is commonly associated with poverty and under-nutrition in both developed and developing countries. Being underweight has been associated with a higher risk of tuberculosis in several studies. A retrospective descriptive study was conducted to analyze TB surveillance data from the chest clinic teaching hospital Batticaloa, in SriLanka. Finally, 103 TB patient’s records were analyzed and available data were extracted. The prevalence of underweight among TB patients is 39(37.9%). Obesity and overweight were associated with a significantly lower risk of both clinically active and culture-confirmed tuberculosis

Information plays a key role in helping the recovery of patients of alcohol and drug abuse (ADA). In the rehabilitation centres, ADA patients are engaged in a treatment programme and are expected to integrate back to the society and become productive people. Alongside other medical procedures, information plays an important role in helping in the recovery of patients of alcohol and drug abuse. This study aims to evaluate the access and use of information services to patients of alcohol and drug abuse in Nairobi County, the case of Asumbi Treatment Centre and to suggest ways in which they can be enhanced. The objectives of this study were: to determine the information needs ADA patients in the rehabilitation centre; to establish information seeking habits of ADA patients; to find out how ADA patients use information; to assess the existing information services available to ADA patients; to find out the challenges faced by ADA patients in accessing and using information, and to suggest ways of enhancing provision of information services to ADA patients in rehabilitation centres. This research adopted a case study design and the approach was mixed, having both qualitative and qualitative approaches. The findings revealed that ADA patients have their unique information needs and they experience challenges of accessing and using information. The study identified inadequate facilities for ADA patients to access and use information services in the rehabilitation centre. Among the major recommendations in this study is that ADA rehabilitation centres should establish information centres, and in addition, offer bibliotherapy services to its patients.

This study aimed to study the effects of age and body mass index on infertility, preovulatory endometrial thickness, and pregnancy outcome after ovulation induction/intrauterine insemination. Twenty unexplained infertility women and thirty polycystic ovary syndrome women subjected to ovulation induction/intrauterine insemination were enrolled in this study. Only two polycystic ovarian syndrome women (4%) became pregnant. There was significant effect of age on endometrial thickness for unexplained infertility and polycystic ovarian syndrome women (P=0.02, P=0.05, respectively). Body mass index and endometrial thickness were independent factors for unexplained infertility and polycystic ovarian syndrome women (P=0.26, P=0.4, respectively). Age adversely affected endometrial thickness while body mass index was not correlated with endometrial thickness

In this age of information explosion no library is able to satisfy all the needs of its users due to various constraints. It is because of this phenomenon that the concept of library IMS has developed. To achieve this, those who are responsible for the libraries should take into account their active and passive users. Furthermore, not only the academicians who make use of the libraries but also those who do not make use of them should be considered. It is against this background that this study main purpose was to evaluate the effectiveness of the use of opens source Integrated Management Information Systems (MIS) in Libraries, Strathmore University as a case. The objectives of the study were: to determine the effectiveness of open source integrated information management system in use at Strathmore university library, to find out the users’ attitudes towards the integrated management information system at Strathmore University Library’, to find out the challenges facing the integrated management systems in Strathmore university and suggest recommendations that would help in improving the use of Koha at Strathmore University Library. The study utilized a case study and was carried out within Strathmore University. The study found out that the integration of information management system in the provision of library service is to a great degree perceived to be effective. However, there was need for improvement. The findings further revealed that, most members of staff and students have positive attitudes towards the use of Koha at the Strathmore University library. This implies that they would appreciate being trained to use it and support any efforts to improve the system. The study concluded that there were still enormous challenges in integration of the management information system in Libraries due some reasons for instance the constant change of software, internet failure and the lack of technology know how among some clients. The study recommended that there is need for continuous training to students and staff to keep then abreast of the technological changes of integrated information systems and innovative strategies of dealing with the challenges associated with Koha.

Acute myeloid leukemia (AML) is a very heterogeneous group of hematological malignancies, Characterized by clonal proliferation of abnormal myeloid precursors and altered normal hematopoiesis. The world Health organization (WHO) classification retains the diagnostic threshold the infiltration of the bone marrow by more than 20% of non-lymphoid blasts. AML 2 represents 30% to 40% of AML, the translocation (8; 21) is identified in 5% to 10% of all AML cases and 10% to 22% of AML2 cases. We report a case of AML 2 discovered in a 56-year-old woman, during a paraclinical assessment of acute pancreatitis. The hemogram showed a pancytopenia. The blood smear revealed the presence of circulating blasts estimated at 36%. The medullogram revealed a medullary invasion by undifferentiated blast cells estimated at 59%, Myeloperoxidase staining was positive. The patient was given antibiotic therapy and rehydration. An extra-renal treatment was performed due to the installation of acute renal failure. Evolution was marked by death following infectious complications

The fishing community is fisherman patorani community that specifically captures the parent and fish eggs "Torani" (flying fish). The fishing community estimated patorani born since the 17th century and operate locally around the Sulawesi Sea, and catch fish species Torani and even other fish species. Since the birth until the early 20th century are still relying on the screen (Sombala) as a boat towing machine and rely on wind power. This study focused on social change traditional fishermen to fishers patorani. This study used qualitative methods descriptive, and data retrieval preliminary observation, interviews and documentation. Informants consisted patorani fishermen, boat owners and owners of capital. The research found that social change occurs due to the internal state of the orientation of the needs and dynamics of the owners of capital, while externally caused by the influence of the market on the fishing community by promising greater income and special one species of fish and fish eggs Torani. Changes it, then forcing the fishermen to make fundamental changes include a shift in social relations that were once family-oriented and then turn to the professional relationship and the contractual and binding.

The involvement of the ovary by malignant lymphoma is a well-known late manifestation of disseminated nodal disease. Primary ovarian lymphoma is rare. We report a case of primary ovarian non-Hodgkin’s lymphoma with unilateral involvement which was managed by surgery and chemotherapy. A 42-year-old woman was admitted with signs and symptoms suggestive of an ovarian cancer. Computed tomography revealed a tumor of the left ovary measuring 12 cm in diameter, without enlarged lymph nodes. The tumor was classified as a diffuse large B-cell lymphoma. The patient has been advised 6 cycles of CHOP regimen and is presently on treatment. She has now been without disease for 36 months after the surgery. According to previous reports the treatment principles and prognosis of primary ovarian large b-cell lymphoma is the same as that of other nodal lymphomas

Abstract: In accounting, financial reporting dominantly focus on profits. There is growing pressure on social sensitivity of accounting. Sustainable Development Goals advocate for concern to the environment. Some researchers have endeavored to demonstrate how accountancy need to respond to the social concerns beyond traditional goal of profit maximization that singles out shareholders from the many stakeholders. However, these studies have been deficient in addressing the moderating influence of stakeholder knowledge on the relationship between social reporting and sustainability accounting. The study adopted Mixed Methods Research of survey design. The target population comprised of the factory unit managers and accountants as the key informants, drawn from tea factories of Mount Kenya region. The sample was obtained by simple random and stratified sampling techniques. Questionnaire was the main data collection instrument. Data analysis entailed simple binary and hierarchical multiple logistic regression analysis using SPSS. Study results were presented in frequencies, percentages and skewness for descriptive and binomial regression output for inferential statistic. The study found out that tea factories practice social activities that they incur costs which were treated as overhead costs and benefits were derived by tea factories. There was a statistically significant influence of social reporting on sustainability accounting; which was insignificantly moderated by stakeholder knowledge. The study findings were of significant to organizations’ strategies to respond to social externalities which in accounting terms affect the organizations profits in the long run. The study recommends tea factories adopt an integration of social reporting and financial reporting.

Stress has been seen as a routine and accepted part of the health care worker’s role there is a wonderful research on stress in nurses worldwide. The interaction among stress and caring behaviors remains quite not examined, especially in the Asian working environment, where it is the not first time that this specific issue is being studied. The aim was to inspect and discover the correlation among occupational stress, caring behaviors and their quality of life in association to health. The aim is to observe the levels of stress facing by nurses working in a Government hospital Lahore Pakistan and explore change in perceived stress levels by department and linked with job perspectives. A co-relational study design was employed, with a two-stage cluster sampling process. Data collection was by means of a self-administered questionnaire, and nurses were investigated across 10 different wards using the perceived occupational Stress Scale. The response rate was 78%. , perceived stress levels were found to be significantly higher in age group 25 to30 59%. There was significant difference between the education levels with regard to job stress; however, differences did occur with experience, the reporting the lowest level of BSN nurses. A significant association was seen between the age and perceived stress even after adjustment. The findings suggest that perceived stress does vary within different work age group in the same hospital. Job elements, such as requirement and supply, are important with regard to perceived stress. Preventive measure was not found to play an important role

This study assessed private property developer‟s involvement in urban development decision in metropolitan Kano. It is commonly acknowledged that private property developers provides over 90% of the properties in Nigeria, but despite this massive strides they are not involved in decisions making regarding urban development. Primary data for the study was acquired through administration of questionnaire to 127 property developers in Kano metropolis comprising of 114 private individuals and 13 corporate respondents. The major findings of the study reveals extreme negligible involvement of developers in almost all the aspects of urban development decisions such as access to land, infrastructural provision and housing finance. Respondents suggested involvement in the form of empowerment, collaboration, consultation, information sharing and active involvement by the government and urban managers. The study concludes by recommending collaboration between the government and private sector in order to boost the activities of private property developers in the spirit of Private-Public Partnership.

The objective is to explore the effects of law and code-oriented and caring-oriented organizational ethical climates on physician–patient trust and interactions. A questionnaire survey was adopted and physicians of a case hospital were selected as the survey participants. A total of 116 valid questionnaires were collected, which were then analyzed through multiple regression analysis. The law and code-oriented organizational ethical climate had a significant and positive effect on physician–patient trust and interactions. In an increasingly complex medical environment, physicians must be aware of their hospitals’ organizational ethical climate and understand their roles and tasks pursuant to the hospitals’ missions, visions, and values. Such awareness and understanding will strengthen physician–patient relationships and enhance medical service quality

The aim of this study is to identify the most informative cerebrospinal fluid (CSF) markers in the diagnosis of active neurosyphilis and in surveillance during antibiotic treatment. It is about a retrospective, analytical, epidemiological study over a period of 10 years, from 1 January 2006 to 31 December 2016 conducted in the laboratory of microbiology of CHU HASSAN II of Fez. We have identified 30 cases of neurosyphilis over a 10-year period. All patients were HIV negative. We realised: on the CSF, a cytochemical examination, white and red blood cell count, a total protein and glucose levels. On CSF and serum, VDRL and TPHA tests for the detection of specific antibodies. The CSF study showed 6 cases (20%) of meningitis with cytology varying between 20 and 890 cells / ml predominantly lymphocytic. 40% of cases had hyper-proteinuria with extremes 0.2 and 4.3 g / l, glycorachia was normal in all cases. The initial titration of VDRL and TPHA was positive in 18 (60%) and 22 (74%) in the CSF, respectively, and 20 (67%) and 26 (87%) in the serum. An accurate and simple approach to the diagnosis of neurosyphilis remains elusive and the diagnosis continues to require a thorough assessment of the patient, including exposure to the risk, presence of compatible clinical signs and symptoms, and laboratory. While direct tests (such as microscopy or PCR) are useful in early infection, serological testing remains the mainstay of the diagnosis of neurosyphilis.

This study aimed to analyze the effect on the performance of competence advocate partially advocate, advocate organizational commitment to advocate partial performance and competence of lawyers and advocates simultaneous organizational commitment. The population of this research is Law Firm that exist in all Jabodetabek area. While the sample is 25 percent of the existing Law Firm, then obtained 123 Law Firms. In general, there are 2 divisions of Legal Firm namely division of litigation and non litigation division. Thus obtained the number of units observed are as follows: 2 x 123 = 246 units. Method of quantitative analysis using path analysis, followed by analysis of determination (R Square), partial hypothesis testing (t test) and simultaneous (test F) with alpha 5 percent (0.05). Prior to further analysis, data quality and classical assumption test were conducted. Analytical tool using SPSS version 23.0 for windows. The results showed that the effect on the performance competence advocate partially advocate, advocate organizational commitment affect the performance partially advocates, and advocates competence and organizational influence on the performance kmitmen simultaneously advocate at law firm Law Firm in Greater Jakarta.

In the present study an investigational work was performed to find out the effect of population density on the breeding of domesticated zebra finch. For the present experiment three different types of cages were used namely: type A, type B and type C cages. Type A cage was utilized for colonial breeding of zebra finch. Ten adult compatible pairs of zebra finches were kept in type A cage. Five type B cages were built for the study; two adult compatible pairs were kept in each type B cage. Ten type C cages were constructed for the present study; one adult compatible pair was released in each type C cage. In type A cage 5 pair produced eggs and only one pair hatched and reared chicks successfully. In type B cages none of the pairs produced eggs. In type C cages all pairs produced eggs, hatched eggs properly and reared chicks successfully.

Cloud computing is a new technological paradigm that offers very powerful computing and cost effective, scalable network services to its end-users / organizations without considering the firm size. Aim of this study is to review systematically the influential adopting factors of Software as a Service (SaaS) by Small and Medium Enterprises (SMEs). Thirty-three research papers have been reviewed attentively from different quality journals and valid conference reports which were published on integration of SaaS and Cloud Computing in SMEs. Increasing number of studies conducted in the last half decade on the factor adoption reflects that organizations whether small or medium are very eager and enthusiastic to integrate SaaS framework in order to get competitive advantages and proliferation of business. Findings of this study segregated innovation variables and recapped TOE as I-TOE (innovational, technological, organizational and environmental perspectives) are the most influential adopting factors of SaaS in the context of SMEs.