Background: Cardiovascular disease (CVD) remains the leading global cause of mortality, and Type 2 Diabetes Mellitus (T2DM) significantly elevates CVD risk through metabolic and vascular complications. Objective: To assess the effectiveness of family medicine interventions in reducing cardiovascular risk factors and events among T2DM patients in Alahsa during the December 2015 to September 2016 period. Method: This retrospective cohort study included 3,000 T2DM patients from Alahsa. Data on glycemic control, lipid profiles, blood pressure, pharmacological adherence, and CVD event rates were analyzed. Patients were grouped into those receiving comprehensive family medicine care and standard care. Statistical comparisons were performed to evaluate outcomes. Results: Among the 3,000 patients, 65% achieved glycemic control (HbA1c <7%) with family medicine-led care, compared to 47% in the standard care group. LDL cholesterol levels reduced by 30%, and HDL levels increased by 18% in patients receiving lipid-focused interventions. Blood pressure control (<140/90 mmHg) was achieved in 78% of hypertensive patients, compared to 61% in the standard care group. Adherence to cardioprotective therapies, including SGLT2 inhibitors and GLP-1 receptor agonists, improved to 88%, resulting in a 25% reduction in major cardiovascular events (from 16% to 12%). Patients receiving family medicine care had a 32% lower relative risk of CVD complications (p<0.01). Conclusions: Family medicine significantly improves cardiovascular outcomes in T2DM patients by enhancing risk factor management and adherence to therapies, highlighting its essential role in primary care.

The objective of the study was to find out whether companies have policies governing the attachment programme. The study was to determine the readiness of companies to accept students on the attachment programme and examined the benefits the students gain from the industrial attachment programme. Descriptive design was used for the study. Students and employees in companies were involved in the study. Questionnaires were used to collect relevant data from companies and students of Takoradi Polytechnic. Data obtained were analyzed using descriptive statistics such as frequencies percentages. The study revealed that majority of the students get placement through personal efforts, intervention of relatives, friends and schoolmates. The government should therefore have a special incentive package (e.g. Tax rebate) to companies which will accept students on industrial attachment. The study further revealed that two months attachment period for the students is woefully inadequate to acquire skills. It therefore recommend that the duration for the industrial attachment should be extended to three months instead of two mouths of the polytechnics so that the students will acquire all the necessary skills before they get back to school.

Moraxella osloensis is a rare causative agent of infection in humans with most cases reported in immunocompromised patients. We report a case of 40years old chronic alcoholic patient who presented with septic arthritis of left knee joint. Culture of pus aspirate was found to be positive for gram negative coccobacilli that were aerobic, oxidase positive and catalase positive. M.osloensis was identified by Biochemical tests and Vitek 2 Compact. Prompt control of infection was achieved by treatment with Meropenem for 7 days along with debridement of left knee joint.

Politic are determined through election, which described as a post and selection made through a vote of a group or ‘constituent body’. Appropriate manifesto will ensure winning seat in general election. This study conduct to determine respondent’s the appropriate manifesto that being applied in the general election. Questionnaire method based quantitative approach are used in targeting 100 respondents in Malacca State, which the questionnaire are divided into two categories namely (1) respondent’s demographic profile, and (2) respondent’s perception towards manifesto designed in general election. Results indicate majority are male with ages from 31 to 40 that working in private sector. Most of respondent studied until secondary level and having monthly income of RM 1501 to RM 2000. On the other hands, education with affecting respondents are more likely towards candidates promises, personality, and issues; education with manifesto influence are positively towards ‘yes’ than ‘no’; education with influencing respondents are more prefer issues and personality; education with attracting issues are more concern for inside the country; and income with getting manifesto information are likely towards candidate, general area, and distribute circular. Conclusion, majority respondents are concerned on surrounding safety, healthy, financially, as well as educationally not only for present day but for the sake of children’s future. Therefore, every voter will have the right to determine the government that they prefer to bring for the bright future.

Breast milk is also called life fluid for the baby. Exclusive breastfeeding has a number of benefits. The breast milk provides up to half or more of the child’s nutritional needs during the second half of the first year and up to one-third during the second year of life. Exclusive breastfeeding is also beneficial for mother also. Colostrum is the first immunization of infants. Exclusive breast feeding (EBF) reduces the infant deaths caused by diarrhea and pneumonia and helps space births. Universalizing early (within one hour) and exclusive breastfeeding for 6 months reduces neonatal and infant mortality. A cross-sectional study was conducted during May –June in 2015 in the rural areas of registered villages of Rural Health Training Centre of the Department of Community Medicine, Aligarh. The study population comprised of mothers who had infant aged between 0 to 12 months. Informed consent was taken from each participant. A total of 70 mothers were selected for the study. Questionnaires were prepared for the study. Data was collected and analyzed using SPSS software. Most of the mothers started breast feeding within an hour. Most of the mothers breast fed their babies till the baby sleeps or leaves on its own. Most of the mothers breast fed their babies on demand only and few breast-fed on regular intervals .87.1% of mothers breast fed their babies from both sides and 12.8% of mothers breast-fed from one side only.55.7% of mothers practiced exclusive breast feeding for 6 months while 44.2% did not practice.97.1% of mothers gave colostrum and did not discard. Most of the mothers knew the advantages of breast-feeding.90% of mothers knew about weaning time and 91.4% of mothers knew that breast feeding could be continued even after weaning .The main source of information was community health workers like ASHAs, Aaganwaadi workers, followed by doctors. It is concluded from the study that most of the rural women are aware about breastfeeding. It is definitely the hard work of community health workers, ASHAs etc. Health education regarding EBF should be given to pregnant females when they come for check-up.

English movies can be effective supplementary teaching materials to make up for the lack of communicative use in daily life for English learners. However, the application of the movies is not so sufficient and it is not suitable to use a whole movie in class for college students because of their limited English level. The paper analyze the current situation of English class based on movies, and put forward some points for attention. These include the movie chosen should do some help to set up correct outlook on life and the world of the students; teachers are required to apply suitable movie clips instead of the entire movie to English class and use task-driven approach and cooperative learning. At last, the paper introduces teaching methods for listening and speaking class based on movies in higher-vocational college in detail by an example.

Abstract: In this study, it is aimed to investigate the symptoms, diagnostic tools and treatment of pediatric patients admitted with acute abdomen symptoms due to Meckel's diverticulum. The patients with surgical complications of Meckel's diverticulum were analyzed retrospectively in terms of age, gender, symptoms, imaging techniques, complications of Meckel’s diverticulum, method of treatment and duration of hospitalization. Statistical analysis was performed using SPSS software and P<0.05 was considered statistically significant. There were 14 patients. Complaints on admission were as follows: abdominal pain, bilious vomiting, abdominal distention, lack of defecation, lethargy, bloody stool, and foul-smelling discharge from the umbilicus. Abdominal x-ray and ultrasonography were performed in all patients. None was diagnostic. Meckel’s diverticulum was a leading point in 7 patients with intussusceptions. Other complications were volvulus (n=4), diverticulitis (n=2) and Meckel's diverticulum perforation (n=1). Patients with ileal resection hospitalized significantly longer when compared to patients who underwent diverticulectomy. Bands extending from the remnants of the omfalomesenteric canal causing obstruction should be kept in mind in patients with sudden onset abdominal pain and ileus if there is no apparent pathology such as intussusception, incarcerated hernia or history of abdominal surgery that can explain the ileus.

This article aimed to examine the relational implications of Computer-Assisted Language Learning (CALL) for the didactic triangle. This examination revealed that the introduction of computer has some impacts on the relations (Pedagogical, Curricular, and Didactic) existing in the didactic triangle which need to be addressed with special care: The indispensable nature of the teacher‟s roles is undermined, for the learner does not necessarily expect his intervention in order to progress in the learning process ; CALL imposes new constraints on the teacher who has to make additional effort in terms of professional skills and research in order to transform and adapt the content offered by technological tool to classroom realities; classroom realities (environmental, linguistic, experiential, representational, intellectual, etc.) might inhibit the learner‟s creative and language potentialities. To improve the implementation of CALL, I suggested a more structured didactic framework which would allow the language teacher to take advantage of this major asset in order to enhance the chances to achieve more dynamic participation of the learner in his own training.

This paper discusses whether home language has any effect on the teachers‟ views on code-switching use in the classroom. The paper is based on a quantitative study conducted at four senior secondary schools in the north-eastern Botswana whose teachers and learners had diverse home languages. Their views were solicited about the use of CS in the classroom and its effect on teaching and learning; and the results were analysed quantitatively. The results from the study showed that the teachers, irrespective of home language, code-switched in the classroom yet the country‟s Language in Education Policy (LiEP) states that English is the sole official Language of Instruction (LoI) from the second year of primary school and throughout the entire education system. However, teachers whose home language is Setswana codeswitch more than others. The paper calls for the appreciation of the existence of code-switching in the classrooms of the said senior secondary schools, and that ways of utilizing it should be explored bearing in mind that language diversity exists in the school environment.

Molecular and pharmacokinetic properties prediction is important determinant in the current drug development process. In this study, molecular and pharmacokinetic properties of phenoxy acids and their derivatives are theoretically predicted using in silico tools to determine how synthetic modifications such as branching, amidation, esterification, heterocyclic groups, and hydrazide group change the structural and pharmacokinetic properties with respect to the parent phenoxy acid. From the results it was observed that phenoxy acid possess good central nervous system (CNS) permeability compared to the acid derivatives. It could also be further predicted that conversion of phenoxy acid to functional derivatives leads to molecules with good pharmacokinetic profile. Based upon these theoretical predictions, it can be concluded that various chemical modifications of phenoxy acid moiety furnish promising derivatives with good pharmacokinetic profile and oral bioavailability.

Abstract: The subscription of Nigeria to MDGs and the attendant efforts of providing qualitative universal basic education by governments made international interventions in the sector visible in all parts of Nigeria. Such intervention is usually technical that tends to provide stakeholders, especially teachers, with internationally tested models that will boost their service delivery and bring improved output from teaching and learning activities. Jolly Phonics is one of such models that aim at teaching reading and writing to pupils at Primary 1&2 with letter sounds that are introduced through child centred strategies of songs, stories and 'actions'. Using Jolly Phonics Project of Zamfara State Universal Basic Education as a reference point, this paper features the critical role of home academics in adapting the model to the local linguistic and cultural environment of the host state.

Improper comprehension of the prescription can lead to wrong drugs taken, misuse of the drug dosage, and ineffective drug action by not following the proper schedule, which was advised, or development of adverse drug reaction, which can be fatal. The objectives is to study if the patient can evaluate/understand the prescription correctly and to study the effectiveness of the communication between the patient and doctor. By a cross sectional study, 192 patients of VS general Hospital and Nagri Hospital were assessed for evaluation of prescription given to them by consultants between January to March 2015. Out of 192 students, 29 (15.18%) did not know and 163 (84.82%) did know the disease they are suffering from. 86 (44.79%) were not able to read the prescription. After analyzing the data collected via basic questionnaire, our study did show that patients might not be able to read the prescription, but the doctors did an excellent duty of explaining the prescription to their patients

This article presents an original concept of establishment of international regional law as a branch of international law at the present stage of social development. The legal system is constantly being updated with new branches and sub-branches of law, institutions, and norms, which makes it more efficient overall. The study of integrational processes in the conditions of development of geopolitical competitiveness, active formation of new regional economic, social, and military-political spaces, demands mobilization of not only political, social, and economic resources, but also legal. A complex analysis of integrational processes within the framework of current regional formations allowed the author to determine a number of signs such as fusion and interconnection of national interests, which ensures balance of national interests of the member-states of regional formation on one hand, and the interests of the regional formation itself on the other. The author substantiates the conclusion that creation and functionality of such regional formations is impossible without presence of international regional law, the element of which can possess certain level of autonomy with regards to both, national law of the member-states, as well as the international law.

The present study was undertaken to investigate the phytochemical constituents of two Nigerian grown kolanut and their antimicrobial properties. Extract of the seed of Cola nitida and Cola acuminata were used to determine the phytochemical constituent of aqueous and methanol nut extract and their solubility in the two solvents. Aqueous and methanol used reveals the solubility of these exrtacts in different solvent and the presence of secondary metabolites in the kola nut. Qualitative screening of the extracts of C. acuminata and C. nitida for phytochemicals revealed the presence of alkaloid, saponins, tannins, flavonoids, glycoside, steroid, saponins glycoside, cardiac glycoside and the absence of anthraquinones in all the extracts. Quantitative analysis shows that the methanolic extracts C. acuminata and C. nitida have the highest percentage of Saponins: (>10%) than the aqueous extract of the preparations. The disc method was used to determine the inhibitory effect of kolanut on the test microorganisms. Sensitivity patterns of zones of inhibition exhibited by the crude methanol and aqueous extract of Cola nitida and Cola acuminata shows that the nut possess relative degree of inhibitory effects against the test microorganisms: Staphylococcus aureus, Esherichia coli, Pseudomonas aeruginosa, Klebsiella pneumonia and Lactobacillus respectively.. The zones of inhibition for K. pnemonia was the highest with 4mg/ml methanol extract of C. nitida and least for E.coli. As for C. acumunata, zones of inhibition for Lactobacillus was the highest with 4mg/ml methanol extract and least for P. aeruginosa. Highest zones of inhibition progressively increase from methanol to aqueous extract as their diameter of inhibition increases with increase in their concentration. The overall implication of the antimicrobial potentials of C.nitida and C . acuminata in the development of drugs against infectious diseases and subsequent health improvement was highlighted.

The objective is to assess the Juvenile Social Interaction among Internally Displaced Persons At AL-Najaf AL-Ashraf City. A Descriptive study is carried out at Al-Najaf AL-Ashraf City/Ya-Hussain Road from February 10th to April 5th 2016. Sample consisting of (1350) children were selected randomly. Data collected by used questionnaire, which includes the first parts was about demographic characteristics of mother (gender, age, number of sibling, order of student in the family, father and mother alive, parents social status, father and mother educational levels and socio economic status) .while the second part about social interaction for children. The present study concluded that most of the Internally Displaced children have social interaction problems. The study recommends to increasing the children cognitive in schools and social support and detected the problems that psychological traced