Cryptococcosis is a potentially fatal fungal disease. The prevalence of cryptococcosis has been increasing for many reasons, including the increase in incidence of AIDS and the expanded use of immunosuppressive drugs. Cryptococcal meningitis is a threatening disease and visual loss is reported as a rare manifestation due persistent papilledema and optic nerve involvement. We report a case of an immunocompetent young male who presented with cryptococcal meninigitis, left lateral rectus palsy and papilledema. Inspite of appropriate medical therapy with amphotericin and flucytosine, his papilledema persisted and developed decreased vision.

Understanding the relationship between environmental pollution and economic development is of great importance for achieving sustainable growth. It is particularly important for managing watershed regions, where rapid urbanization can cause significant environmental damage. This study aimed to determine the relationships between urbanization, economic growth, industrial structure and nitrogen emissions in the Jishui River Basin from 1997 to 2013. Based on the raw data, a vector auto-regression model was built, and the data were analyzed using the Johnson cointegration test, the Granger causality test, impulse response function analysis and variance decomposition analysis. The results showed that there was a long-run equilibrium relationship and a one-way causality between the four variables in the Jishui River Basin. The effects of economic growth and industrial structure on nitrogen emissions were significantly stronger than the effect of urbanization levels. In the long run, economic growth and industrial structure had a strong explanatory power for nitrogen emissions, and the contribution of urbanization levels, economic growth and industrial structure to nitrogen emissions showed some hysteresis. This study clarifies the main drivers of changes in environmental pollution in the Jishui River Basin, and provides a scientific basis for urban development models and regulation of industrial growth.

This study examined whether a selected African stock exchanges provide evidence of weak form efficiency in the recent time period January 2013 to December 2015. Two objectives examined were the normality of distribution of stock prices in African stock markets; and to ascertain whether current values of the stock prices are related to various lags of the past stock prices in African stock markets. The study covered 13 out of the 28 stock exchanges in Africa, representing 38 nations' capital markets. The Jarque-bera statistics test of normal distribution and Augmented Dicker Fuller test of stationarity for stock market efficiency were employed. The data obtained from the monthly All Share Index data of the markets are log transformed to arrive at stock market returns used for the data analyses. Findings from the result indicate that (1) African stock market follows normal distribution; (2) succeeding price changes are not independent and move randomly in African stock markets. The study concluded that African stock markets are weak form inefficient within the period under study. The study therefore recommended that addressing trading frictions; promoting timely disclosure and dissemination of information to investors on the performance of listed companies; and strengthening regulatory oversight are key elements of a strategy aimed at improving the efficiency of the capital market.

Abstract: Organizational culture is conceptualized as shared beliefs and values within the organization that helps to shape the behavior patterns of employees. It is the drive that recognizes the efforts and contributions of the organizational members and provides comprehensive understanding of what and how is to be achieved, how goals are interrelated, and how each employee could attain goals. It is a collective process of the mind that differentiates the members of one group from another. Organisational culture is gaining support as a predictive and explanatory construct in organisational science because if it managed and controlled shall be useful as a management tool for organisational effectiveness and performance. The present study examines the impact of organizational culture on employees’ performance in selected Indian automobile companies. Data has been collected through questionnaires designed on a five point Likert scale. Multiple regressions have been used as the statistical tool for analysis of data. The study revealed that there is significant impact of organizational culture on employee performance in selected companies.

This is a conceptual review (content analysis) of the effect of foreign direct investment as a catalyst for sustainable economic development in Nigeria. The major objective is a comparative analysis of 87 developing countries with the capacity to attract FDI and proffer possible solutions that will catapult Nigeria as a globally acceptable haven for foreign investment. The secondary data were sourced from Investing Across Borders (IAB) 2010 report where 87 developing countries across the globe were assessed using the IAB indicators. The major conclusion drawn from the survey is that Nigeria as a country is yet to maximize its potentials (given available resources and market size) at attracting foreign investment. It also concludes that the process of foreign business establishment/ownership in Nigeria need to be improved upon to encourage high patronage of foreigners in economic activities. This study therefore recommends that Government should make policies that will encourage equity ownership of investments in Nigeria by foreigners. The authorities should put in place machineries that will ensure a transparent and simple business registration and ownership process.

The Congolese education system has long remained on the margins of entrepreneurship training. Yet some branches of study are beginning to grasp the importance of this subject and are already valuing this data in order to integrate it sufficiently into their curricula. How the social sciences, whose vocation is to study and apprehend various relations created in society, handle this new data? This reflection attempts to answer this question. A comprehensive analysis of the courses offered in this faculty has helped to descry between entrepreneurial teachings and other types of teaching. The approach was based on a simple assumption that any teaching whose purpose is to prepare and develop entrepreneurial attitudes and aptitudes is entrepreneurial. Thus, although the department of political and administrative sciences is one step ahead of the other departments, on the whole, this faculty has, on the contrary, devalued this teaching by cutting off some important courses in this field.

In this paper the optimal solution for linear programming is derived where some parameters are fuzzy in numbers. In practice, there are many problems arise if the decision parameters are crisp in nature, and such problems are usually solved by introducing either probabilistic programming or multi objective programming methods. Unfortunately all these methods have shortcomings. In this note, the concept of fuzzy numbers is introduced, which is a very effective method for solving these problems. With the problem assumptions, the optimal solution can still be theoretically solved using the simplex based method. Fuzzy decision variables can be initially generated and then solved and improved sequentially using the fuzzy decision approach by introducing robust ranking technique. The proposed procedure was programmed through MATLAB (R2009a) version software for representing four dimensional slice diagrams to its application. The model is illustrated with an application which incorporates all concepts of a fuzzy arithmetic approach to draw managerial insights.

Being potential entrepreneurs, students need to see their entrepreneurial potential grow. This is attained through a set of personal resources (knowledge, experiences, skills, relationships, aptitudes) that are useful for entrepreneurial action. Thus university is a full player in the success of young people in the entrepreneurial path. But entrepreneurship is a process that can be studied by linear sequences including that of upstream business creation or the entrepreneurial spirit. Understanding the correlations between education and this later was the main concern of this study. To achieve this, we have repositioned this problematic within a framework of the social dimensions of entrepreneurship model and that of planned behavior. The study on a survey control sample, particularly chosen in the social sciences, showed that desirability is a variable that is little influenced by the study branches. On the other hand, it is at the level of feasibility that the study paths have a significant impact on the entrepreneurial action. Finally, we put these results into perspective to understand the future behavior of the respondents. This feasibility variable is therefore an important factor in the choice of careers for students.

Knowledge Management (KM) is the process that deals with obtaining, processing, storing, disseminating and applying of information and knowledge within an organization to support and enhance its business performance and employee satisfaction. Financial institutions are realizing knowledge as a crucial resource in organization and should be managed judiciously. Despite the claims for positive relation between KM process and employee satisfaction in banking sector, few researchers have actually proved it. Therefore, the main objective of this study was to measure the effect of knowledge management practices on employee satisfaction of banking sector in Nepal. In this study, a sample of 385 respondents was selected randomly from four different types of financial institutions of Kathmandu, Nepal. Statistical analysis was done to draw the conclusion. The results clearly showed that components of KM process (KM obtaining, KM organizing & KM applying) had positive relation with the organizational performance measured in terms of employee satisfaction.

Abstract: There has been increasing drug and alcohol abuse in Kenya with the associated adverse consequences. As a result, there has been increase in the establishment of treatment and rehabilitation services and demand for the same to assist abusers in recovery and avoid relapse. However, despite the availability and demand of these services, there has also been a simultaneous increase in the relapse cases. This casts doubt on the effectiveness of the existing treatment and rehabilitation services in meeting the ever-increasing number of admitted cases. This study sought to establish the preparedness of alcoholic in coping with the risks that predispose one to relapse assess the effectiveness of treatment and rehabilitation services in addressing alcohol relapse in selected centers in Nairobi, Kenya. This study adopted ex post facto research design. The target population was all the relapse cases in the 14 rehabilitation centers registered by NACADA in Nairobi. A random sample of 109 alcoholics and 8 counselors drawn from 4 purposively selected rehabilitation centers were involved in the study. Data was collected through administration of two sets of self-structured questionnaires to the selected respondents. The questionnaires were piloted to validate and test its reliability before the actual data collection. The data was then processed and analyzed using descriptive statistics including frequencies and percentages with the aid of Statistical Package for Social Sciences (SPSS) version 22.0 for Windows. The results of study have shown that relapse was influenced by the interaction of past-risks within the individual and environmental situations and level of preparedness to cope with these past-risks to resist drinking.

Empowering the economically disadvantaged is to enable businesses and society's independence. Transmigration is a model of population distribution in addition to an effort to improve the welfare of the economically disadvantaged agricultural sector. The purpose of this study was to examine the transmigration program of empowerment the economically disadvantaged in the village of Seven Island, Villages and Village Mampun Rasau District of West Pamenang Merangin district. The focus of this research is the income of migrants oil palm farmers in the village of Seven Island, Villages and Countryside Mampun Rasau Pamenang districts of West County Merangin. The method used in this study were interviews, observation and discussions with migrants oil palm farmers in the village. The results showed that the level of income tansmigran oil palm farmers in the village of Island of the Seven, village atmospheres and Rasau village district subdistrict West Pamenang Merangin above-average per capita income of the Indonesian population, thus an increase in the welfare of the migrants palm farmers in three villages.

Abstract: Leadership in an organization is like a cornerstone in a storey building in that the leader gives the direction and guidance towards achievement of the set goals. Most of the organizations do have the drafts, but how the leader decides in terms of priority and resource allocation determines the overall outcome. Thus, a visionary leader in any organization is a tree seedling that needs to be nurtured. This paper explores the influence of strategic leadership on organizational performance in selected banks within Nakuru Sub County. The study used primary data obtained from the respondents and secondary data from the journals, books and other print media. The study employed a descriptive survey design. Structured questionnaire to collect data where both closed and open-ended questions were used to get the opinions of the respondents. There was 84% response rate and only 16% non-responses. The data collected was first coded and the opinions of the respondents analyzed by use of statistical package for social sciences (SPSS). Pearson correlation and Chi-square tests were used to estimate the relationship between the strategic leadership and the organization performances. The data was later presented in tabular form and charts for easier interpretation. It was hoped that the findings of the study would clearly show the importance of developing strategic leaders that will create a viable future for the organization.

Percutaneous tracheostomy (PCT) has rapidly emerged in recent years; it is proven to be safe and less time-consuming when compared to surgical technique. In critical care settings, the use of PCT has been widely accepted and some authors consider it the gold standard method. Although PCT is relatively a safe procedure, it still can be associated with some serious complications. Massive percutaneous emphysema is a rare complication of PCT, which might be life-threatening. We report a patient with Guillian-Barre syndrome (GBS), who was admitted to an intensive care unit and required prolonged ventilation. Bedside PCT was performed and ended with the development of an immediate diffuse massive surgical emphysema and desaturation, followed by cardiac arrest regardless of the treatment measures

There is uncertainty as to the comparative prognostic value between cardiac troponin I (cTnI) and CK-MB in acute coronary syndrome (ACS). The objective is to compare the prognostic value between cTnI and CK-MB mass in patients with ACS without ST-segment elevation. Total 127 patients were analyzed in a prospective way in a tertiary cardiology center. Combinations of biomarkers were examined: normal cTnI, normal CK-MB mass (65.5%), normal cTnI, elevated CK-MB mass (3.9%), elevated cTnI, normal CK-MB mass (8.8%), elevated cTnI, elevated CK-MB mass (20.7%). A multivariate analysis of clinical, electrocardiographic and laboratory variables determined the independent prognostic value of biomarkers for the event of death or (re)infarction within 30 days. Patients with at least one elevated biomarker were older (p = 0.02) and males (p < 0.001). The previous use of aspirin (p = 0.001), betablockers (p = 0.003) or statin (p = 0.013) was most frequent among those without elevated cTnI. Patients with both biomarkers elevated had more ST-segment depression (p < 0.001) or elevated creatinine (p < 0.001). In a multivariate analysis with the inclusion of cTnI, the CK-MB mass was not an independent variable for the event of death or (re) infarction within 30 days (odds ratio [OR] 1.16, p = 0.71). When cTnI was not included, we had the following values: age (OR 1.07; p < 0.001); male (OR 1.09; p = 0.77); diabetes mellitus (OR 1.95; p = 0.02); previous stroke (OR 3.21; p =0.008); creatinine level (OR 1.63; p = 0.002); CK-MB mass (OR 1.96; p = 0.03). C-statistic 0.77 (p < 0.001). With a dose of cTnI, CK-MB mass may be dispensable for prognostic evaluation. If cTnI is unavailable, CK- MB mass is acceptable for making a decision on treatment options.

The author’s earlier publications have shown the presence of nanoparticles (NPs) of the original drug material in all the higher dilutions of homeopathic drugs; viz, Lycopodium and Ferrummetallicum. The present study is to compare the two different scales of potencies discovered by Samuel Hahnemann; with the help of HRTEM and EDS. It is found that:- i) all the high dilutions (HDs) of Natrummuriaticum (Nat mur) contain NPs; ii) the size of NPs is within quantum dots (QD) size range, except for 6C, where larger particles are found (14nm); iii) NPs contain Sodium (Na) and Chlorine (Cl)in various weight percentages; iv) The smallest NPs in higher concentration are present in 50 millesimal (LM) scale; v) The weight percentage of Na and Cl is very high (more than 99%) in all the potencies of LM scale except in LM6.The combined weight percentage of Na and Cl is less than 1% in all centesimal scale of potencies except in CM, where it is 1.09%; vi) The presence of elements other than Na and Cl is many in centesimal scale. The presence of other elements has been negligible in LM scale and vii) The comparative analysis shows that LM scale HDs are rich in the NPs than in centesimal scale HDs.