Objective: was to take stock of the screening and treatment of precancerous and cancerous lesions of the cervix in the health district of commune V of Bamako in Mali. Patients and Methods: This was a descriptive, cross-sectional, analytical study with retrospectiveand prospective data collection over a period of 08 years from 1 January 2010 to 31 December 2017. Results: From January 1, 2010 to December 31, 2017, 42492 women were screened on a target of 174777 women, a frequency of 24.30%. The median age of women screened was 32 years; 25% were under 25 years of age. A similar proportion were over the age of 40. 3/4 of the women screened belonged to the age group of 20 to 49 years. Women aged 55 and over were the least represented by 5.7%. Screening coverage was over 35% among the 25-49 age groups. It was 31.9% and 23.1% among women aged 50 – 54 and 55 – 59 respectively. Screening coverage was less than 15% among 60-year-olds and older. Of the 22842 women screened, 90.1% had a normal cervix at IVA/IVL. However 4.1% cervix positivity to acetic acid and 5.1% positivity to Lugol. 0.7% of the women screened had clinically cancerous lesions. At the anatomo-pathological level, various histological lesions have been observed with regard to precancerous lesions, squamous cell carcinoma and adenocarcinomas. Indeed, among the women screened 96.5% had a normal cervix with benign lesions. For those with pathological histological results, 2.6% of them had histology with precancerous le sions and 0.8% had squamous cell carcinomas. A low rate of 0.1% of adenocarcinoma was recorded in our series. Conclusion: The improvement of screening indicators with IVA/IVL which does not require large resources is a promising avenue in Africa on which, it can hope for the rate of morbidity and mortality by cervical cancer.

Context: This study was planned to find out the depression, anxiety & stress levels among first year medical students of AIMS, B.G.Nagara. Aim: This study was conducted to determine the depression, anxiety & stress levels among first year medical students of AIMS, B.G.Nagara. Settings and Design: The present study was a cross - sectional study consisting of 150 first year medical students of AIMS, B.G. Nagara. Materials and Methods: This study was conducted in Adichunchanagiri institute of medical sciences, B.G. Nagara, Nagamangala Taluk, Mandya district, after the institutional ethical clearance and written consent to participate was taken from each student. Depression, anxiety & stress levels were assessed using Depression, anxiety and stress scale (DASS 21) questionnaire. Results: The DAS levels thus recorded were analyzed for statistical significance using. Data analysis was done using SPSS software version 19. Conclusion: The results of this study indicate that Depression, anxiety & stress levels was higher in first year medical students.

The purpose of this study is to analyze and find The Weaknesses of the Police's Discretion in Handling Minor Crimes in Indonesia Currently and How Is the legal Reconstruction Of Police Discretion In Handling Minor Crimes Based On The Values Of Justice. The method used in this study is a normative-juridical approach that uses a constructivist paradigm. The results of the study shows that the Weaknesses in Implementing the synergist Regulations of police discretion in handling minor crimes in terms of legal substance is that the discretion can be used as an engineering tool of the police apparatus to obtain personal benefits from the cases it handles. Weaknesses from the aspect of the legal structure can lead to the practice of abuse of authority. The weakness of the legal culture aspect is that the creation of formal justice creates public distrust of law enforcement officers so that in this case the police must be careful in applying discretion. Based on this, it is necessary to reconstruct the law on the value of police discretion in handling minor crimes based on justice in Article 18 paragraphs 1 and 2 of Law Number 2 of 2002 so that in resolving conflicts that occur between perpetrators and victims can achieve justice.

The purpose of this study is to analyze and find weaknesses in the regulation of the synergistic implementation of the duties of the National Narcotics Agency (BNN) and the National Police (POLRI) in Narcotics Cases and how to reconstruct the law on the synergistic implementation of the duties of the National Narcotics Agency and the National Police in Narcotics Cases based on the Value of Justice. The method used in this study is a normative-juridical approach that uses a constructivist paradigm. The results of the study indicate that the weaknesses of the Synergy Arrangement for the Implementation of the Duties of BNN and POLRI are that they have not been regulated in the realm of the Act or other statutory regulations. However, at least in article 70 c and article 84 the regulation of the authority of the BNN and POLRI has been regulated but in need of communication factors, proper recruitment of investigators, and rules that do not overlap, therefore Reconstruction is required in Law Number 35 of 2009 Article 70c; By adding the word "mutually" Coordinate with the Chief of the Indonesian National Police in prevention and eradication. "And synergize in every activity related to both". Then in Article 84; wherein conducting investigations into the abuse and illicit trafficking of Narcotics and Narcotics Precursors, the investigators of the Indonesian National Police shall notify in writing of the commencement of the investigation to the BNN investigators and vice versa, "And carry out work synergies by both". By adding the word synergy, it means that there are efforts that bind the occurrence of good cooperation in the form of an MOU between BNN and the Police.

The relationship between investment and shares is established to find the intrinsic nature. It is found when the best labour is 6 the cost is low and the number of shares are 1000 with the intersection of 1~4 RMB which is net profit point. When the best capital is 6 units the profit will be 5 RMB and the profit point is 1400 of the number of shares with the 5 RMB. The profit may become the positive at 780 pieces when the best labor is one. It explains that beyond this point the total net profit may be 3~4 Yuan may be best net profit in average profit. TR£2TC that says the Tpro may be best start because TCquan£0 in intersection between Tpro and TC. The total profit will be 3~4 Yuan according to the best labor and capital. The best labor is 1 whilst the best capital is 6 in this condition. In total TR³2TC is the valid value to make more profit which is concluded in this paper.

We report the case of a 46-year-old patient with a history of multifocal tuberculosis (peritoneal and pericardial) treated with anti-tuberculosis drugs and corticosteroid therapy for 12 months. He presented with progressive onset right heart failure syndrome during the course of his treatment related to chronic constrictive pericarditis documented by transthoracic ultrasound and right heart catheterization. The treatment was surgical by decortication with favorable operative consequences. This observation aims to question the rapid evolution of tuberculous pericarditis to chronic constrictive pericarditis usually described in the literature as a rare complication and occurring very late after several years.

The gifted education is an old field for America and for France which tackled the special education needs for gifted students with researchers whose concepts of mental age and intelligence testing transformed the standards of the psychological science. Thus, the United Arab Emirates (UAE) is still considered premature in this field where minimal attention has been granted to the gifted education area, which is a division of special education. This study aims to explore how inclusive is a British school (BS) in Dubai (UAE) for gifted students, by critically analysing its gifted education policy practices, through the framework of a case study. In order to investigate how inclusive is a British school in Dubai for gifted students, the researcher critically analysed its gifted education policy practices, compared to gifted policy international standards, through a qualitative research approach with a content analysis method. The Findings revealed that the British school gifted policy has few gaps compared to Purcell and Eckert’ standards. Few recommendations were written by the researcher to be provided to the British school educational stakeholders to improve the gifted policy and to enhance the gifted students’ conditions at school.

Homework is defined as a work allocated by the teacher to be accomplished by the student outside of the regular school day. The purpose of this study is to identify the effects of homework on the student academic achievement by conducting a descriptive study of selected and related existing literature the year 2000 to date. The gathered data failed to demonstrate that homework is an effective way to enhance the student academic achievement, in most cases.

This research was conducted to identify and map existing policies related to efforts to protect and fulfill the Sexual and Reproductive Healthcare Right (SRHR) of women in relation with Goals 1 (No Poverty), Goals 3 (Healthy and Prosperous Life), Goals 4 ( Quality Education) and Goal 5 (Gender Equality) of the SDGs, through services that are the obligation of the Local Government of East Lampung Regency. By using legal, otherwise known as empirical-sociological research methods, it is found that the SRHR and SDG are two different entities but both have similarities in Human Rights (Human Rights), namely related to, Socio-Cultural and Economic Rights. As a form of public service in the context of Human Rights, the East Lampung Regency Government is obligated to fulfill by legalizing various regulations and providing types of services, poverty alleviation, healthcare, education, and gender equality, to overcome stunting, child marriage, maternal and infant mortality, and violence against women, in East Lampung Regent. In the context of human rights, local government obligations are subject to the progressive realization which is carried out using the Human Rights-Based Approach (HRBA). So that they contribute in the form of a policy brief for the Regional Government of East Lampung Regency in realizing the SDGS issue and Fulfillment of Women's SRHR. Local government obligations are subject to the progressive realization which is carried out using the Human Rights-Based Approach (HRBA). So that they contribute in the form of a policy brief for the Regional Government of East Lampung Regency in realizing the SDGS issue and Fulfillment of Women's SRHR. Local government obligations are subject to the progressive realization which is carried out using the Human Rights-Based Approach (HRBA). So that they contribute in the form of a policy brief for the Regional Government of East Lampung Regency in realizing the SDGS issue and Fulfillment of Women's SRHR.

Introduction: Corona virus disease 2019 (COVID-19) is the newly developed respiratory disease that is caused by a novel Corona virus which was first testified in Wuhan, China in December 2019.The common clinical manifestations of this highly infectious disease, fever, dry cough, tiredness and less common symptoms are aches, pain, sore throat, diarrhea, conjunctivitis, headache, loss of taste or smell, a rash on skin, or discoloration of fingers or toes. The most Serious symptoms which can put the patient in life threatening condition are difficulty breathing or shortness of breath, chest pain or pressure, loss of speech or movement (WHO, 2020). The health care workers' adherence to the recommended measures taken to prevent trans mission are inevitable to minimize the increasing number of COVID-19 cases. This can be achieved by enhancing knowledge, positive attitudes, and infection control practices of the frontline workers. Objective: To analyze the covid-19 fear and anxiety among health care professionals especially front line nurses who are putting their efforts to serve and save life of public at a tertiary care hospital Lahore. Evaluate the psychological impact of COVID -19 on nurses. Every one suffers a great fear but this pandemic and lack of proper research based articles and increased mortality rate leads to psychological stress among nurses. Material and method: This was a cross-sectional quantitative study; Nurses who were directly in contact with infected or suspected COVD-19 patients on the frontline were invited to participate by random sampling method. An international standardized psychological impact questionnaire was used to see the psychological impact of COVID-19 on nurses. Data was collected by the researchers through electronic media. Results: Result from 10 May 2021, a Total of 100 electronic questionnaires were collected, of which 20 questionnaires were excluded because of the uncompleted answer finally 80 valid questionnaires were included in the analysis. All the analysis were conducted using SPSS Descriptive statistic were presented as frequency and constituent ratio mean and standard deviation SD were calculated for quantitative variables such as age, according to the data type. Categorical variables such as gender, marital status education, and family type were expressed as frequencies and percentages. Psychological impact of COVID-19 was coded as dichotomous variables and licked scale according to the evaluation method of the scale. thus the relationship between psychological impact and categorical variable Age, Gender, education level etc, was analysis by Chi-square test, the comparison of psychological impact among nurses the four point Likert scale of worried ness such as “Never” “ Sometime” “ Often” “ Always”. Liner regression model were developed to explore the impact association among health care and to estimate the possible, demographic predictors by using unadjusted and adjusted model of Age, Gender. Marital status, education. Conclusion: The study result revealed that 88.8% of the frontline nurses experienced psychological distress, evidenced by their score on the GHQ. 68.8% nurse was suffered from insomnia due to excessive stress. 80.0% nurses always feel you under tension due to performing duty on COVID19.only 60.0% nurses were enjoyed their leisure time after their shift. The nurses 52.5% said they understand that they can’t solve problems.

The act of inhalation and exhalation is called breathing and the exchange of gases in the lungs the ventilation and perfusion are called respiration. Impaired breathing or any limitation in breathing can lead to various problems, and this limitation or impairment can be due to therapeutic surgeries and general anesthesia. The study aims at efficacy assessment of respiratory exercises on selected respiratory parameters. Recording of the respiratory parameters before and after respiratory exercises was done among post-operative laparotomy patients. Association of the socio-demographic variable with post-exercise respiratory parameter scores was calculated with help of the chi-square test. An experimental research design was adopted and a consecutive sampling technique was used to select 50 subjects. Data was obtained from study subjects with the help of Performa developed consists of Part-A –sociodemographic profile. Part- B – format for recording the measurements of selected respiratory parameters. Part-C – protocol on respiratory parameters. Part- D – Protocol on respiratory exercise. Approval was taken from the research and ethical committee of the institution. Data analysis was done. Result concluded that there was no significant difference between the pretest and post score of the experiment group. It can be due to the smaller sample size (n=25). However, it can be established with a lower sample size. On other hand, the “t” value calculated between control and experiment study reviled significant difference therefore conclusion was drawn that respiratory exercises were effective to bring change in respiratory parameters

The paper represents the economic crisis in Georgia caused by the covid-19 pandemic. The negative impact of the crisis on Georgia’s economy is significant and by the end of 2020 it was already possible to express its effect in specific numbers and therefore, to make predictions and recommendations. The economic crisis primarily affects the developing countries, where the economy is experiencing a real sector deficit, negative balance of foreign trade that is balanced by attracting the tourism sector and foreign direct investments. Considering the Georgia’s less developed economy the crisis pushes government to use monetary and fiscal instruments for stimulating the economy in the short and medium run, while in the long-term period it faces a wide range of challenges including local and international economy.

Space closure is a challenging process in orthodontic therapy. Ability of space closure after extraction requires great skills otherwise can result in relapse.Space closure can be done either by enmasse method or two step retraction method. In severe crowding cases, canine can be individually retracted and the anterior can be allowed to align by themselves without any orthodontic forces. Mullighan’s bypass arch is one such method where these both mechanics can be incorporated. In this case report, Mullighan’s bypass arch was used in lower arch to aid in avoiding the unwanted moment caused by the loop and produces more of a bodily retraction of the canine and at the same time decrowding the anterior teeth.

The aims of the study are to explore why schools declined strategic management to improve educational administration quality satisfaction, and to recognize how schools practiced strategic management. A qualitative method with a case study design was applied, along with observation, interviews, and documentation. The samples were three prominent State Senior High Schools in the province-Indonesia. A Creswell model utilized a qualitative descriptive analysis of data along with the application of Atlas.ti-9.1 applied. The findings are; Strategic management is underutilized because they perform either ordinary management or disregard service excellence in academic administration. Lack of human capital hampers the application of strategic management, such as specialists, academic administration, public service science, and a low level of administrative service quality. It also identifies barriers and deficiencies in the size of personnel service, communication facilities, and other supports. The conclusion seemed that strategic management is the management and coordination of a strategic school effort in creating adjustments and reforming the organization toward excellence and standard quality. The implication is that schools should compete with others in administrative services, such as technical skill, conceptual ability, and availability of infrastructure facilities, the competency or professionalism of service people.

Unorthodox urban transport parking and the proliferation of motor parks has elicited traffic congestion and chaos in the city of Bamenda. This article seeks to address the disorder through the creation of a multipurpose motor park as palliative to the disorder accrued. The paper advocates that a harmonized parking sector would not only decongest the city, but will as well maintain urban order. Some 182 questionnaires were administered to the city dwellers, transport agency owners and administrative authorities for first-hand information on the need for a multipurpose motor park. Field observation and interview sessions were carried out to confirm primary information acquired. The GPS was used to capture points for mapping of existing parks and the proposed multipurpose one. An in-depth documentary research was done to have information on the situation of the Bamenda city to propose solutions. Data collected was treated and analysed through the ArcGIS 10.0 and AutoCAD Map 3D to realise maps and diagrams for results. The Microsoft excel spread sheet was used to treat and generate tables for presentation and analyses. Results from findings disclose that the multiplying of motor parks in the city of Bamenda from all angles both as private and public has initiated disorder in the sector. Close to 63% of the parks are owned by private individuals who are more profit oriented than public interest focused leading to disorder. Demographic pressure from the perpetual increase in the population of Bamenda from 48,111 inhabitants in 1976 to 755,602 in 2020 has favoured congestion. The traffic flow of the city which is concentrated on its popular inlet through Up-Station from other regions has provoked severe congestion in the city. Uncontrolled parking has instigated urban transport chaos which can be salvaged through the creation of a multipurpose motor park.