This work presents the performance assessment of two industrial gas turbine power plants. The plants are GE M5001 gas turbine and BBC M05864 gas turbine, all operated in Rivers state, Nigeria. The international standard organization (ISO) rating, average operating field data and calculated results of the gas turbine performance parameters were compared. The first law analysis was employed for the calculations, where the exhaust gas temperatures, net power outputs and the thermal efficiencies were estimated. The calculations were done using the pressure ratios obtained from the field for the M5001 turbine, while the ISO value was used for the M05864 turbine. The maximum and minimum power generated as obtained from the field during the period of study are 20.37MW and 19.15MW respectively, obtained at pressure ratios of 8.33 and 7.87 respectively, while the corresponding calculated values are 24.44 MW and 24.17 MW respectively for the M5001 turbine. The corresponding thermal efficiency values calculated are 27.09% and 26.79% respectively. The ISO rating of the turbine is 26.84 MW, the thermal efficiency is 28.4% while the pressure ratio is 10.5. For the M05864 turbine, the ISO pressure ratio of 9.55 was used for the calculations. The calculated power output is 50.196 MW as against the field value of 50 MW. The ISO rating is much higher at 65 MW. There is thus no much difference in the net power output between the field data and the calculated value for the M05864 turbine, but there is significant difference in this parameter for the M5001 turbine. The ISO values are generally higher because the real engines operate at higher ambient temperatures. The comparisons between the calculated values and the field results reveal how well the engines are being operated.

In this work, polynomial deflection expression was used in the free-vibration investigation of thick rectangular plates with two different boundary conditions; one with its four edges clamped denoted with the acronym (CCCC) and another with two adjacent edges fixed and having simple supports at the other two adjacent edges denoted with the acronym (CCSS). The edge conditions of the various plates were fulfilled and used in generating the stiffness coefficients which were substituted into the analytical equation to obtain the non-dimensional frequency functions for the plates at different span-depth ratio (a/t) and aspect ratio (b/a). It was observed that at the same value of (b/a), there is an increase in the value of the non-dimensional frequency parameter as (a/t) increases. Also, at the same value of (a/t), there is a decrease in the value of the non-dimensional frequency parameter as (b/a) increases. The results obtained for the all edges clamped plate were compared with similar works by other researchers in the literature and were found to follow similar pattern and trend and were quite close.

Background: The social society in Africa and most continents, perceives any girl who gives birth before marriage as a wrong doer. Such a girl is deemed to have negated the traditions. Poor and non-communication between adolescents and their parents or guardians has been implicated in most instances. The scenario is the same in the County of study according to information from the respondents and as alluded to by the County Director of health services. The parents and guardians in the County have been called upon to exercise responsibility over their daughters, encourage them to resume school instead of forcefully marrying them off or rejecting them on the bases of pregnancy. The purpose of this study was to give evidence-based health education in relation to family and social support systems in reducing neonatal morbidity and mortality among neonates born to adolescent mothers in the County Referral hospital. Objective: The objective of this study was to describe the role of family and social support in reducing neonatal morbidity and mortality among neonates born to adolescent mothers. Methods: Setting; the study was carried out at a County referral hospital using a randomized control trial design. The participants were expectant adolescent mothers aged 19 years and below attending the antenatal clinic at the hospital. A sample size of 528 respondents (264 cases and 264 controls) was calculated using Pagano formula and realized using simple randomization. Inclusion criteria: adolescent mother ≤ 19 years, gestation period of 26-34 weeks and resident of the study County for sufficient time follow up. Students, non- Kenyans and mothers with existing co-morbidities were excluded for fear of loss to follow up. Results: Negligence and lack of support, 81% (pv 0.000), lack of community emphasis on neonatal care 77% (pv0.001), lack of value for neonatal health, 78% (pv 0.000), lack of knowledge 60% (pv0.003) and poor socioeconomic status, stigma and rejection 89% (pv0.000) were some of the significant study findings. Conclusion: The poor family and social support played a major role in persistently high neonatal morbidity and mortality in the County.

Epithelial-myoepithelial carcinoma (EMC) is an unusual malignant salivary gland tumor. Little is known about the clinical and biological behavior of EMC. There is no consensus for its treatment. It is considered as a low grade malignant tumor. Whatever, it presents a potential of local recurrence and possibility of metastases. We report a 76-year-old patient who presented an epithelial-myoepithelial carcinoma of parotid gland, treated successfully with wide local resection and adjuvant radiotherapy with no signs of recurrence for 3 years.

American writer Ernest Hemingway’s short story The Killers is a classic literary work. Its unique linguistic charm and vivid characters have attracted scholars from generation to generation to appreciate and study. This paper takes the main characters’ conversations in the classic short story as the research object. Through statistical and analytical study of the conversations violating the Cooperative Principle and the conversational implicature they produce, the research aims to reveal the characters’ personalities and show its profound themes, thus helping readers better understand and appreciate the short story and broadening the application of pragmatic theory in the field of literature.

The purpose of this study was to find out the description of education services based on quality assurance and customer satisfaction of private colleges in Central Sulawesi Province. It was a descriptive research, conducted at private colleges in Central Sulawesi Province. The population of the study was all undergraduate students who were registered and active in the B accredited study program on private colleges in the Regencies/Cities of Central Sulawesi Province in 2017. The variables were the quality of education/learning based on quality assurance and customer satisfaction toward education services in those colleges. The results of the study showed that students' perceptions about the quality of education services obtaining a total average score of 4.01 (good category). Customer satisfaction had a mean value of 4.02, indicates that the educational services provided were felt satisfactory. The quality of education/learning based on quality assurance was perceived well by students, in accordance with the quality standards of accreditation B obtained by study programs. The value or benefits of education/learning services are also good and satisfying so that most students feel trustworthy and loyal to the institutions and study programs of higher education.

Although joint pain can be controlled with various modalities which includes the use of acetaminophen, NSAIDs and corticosteroid injections. It has been found that LLLT is an effective non invasive therapy to control inflammation and tissue degeneration and thus to relieve pain with subsequent quality of life improvement in various inflammatory & painful joint problems. Material & Methods: A retrospective analysis was done from the data on osteoarthritis knee patients (n=30) with chronic knee pain, treated with low level laser therapy applied at the knee joint line area over medial & lateral tibiofemoral condyles region. The various parameters like NRS; daily activities, work & leisure, anxiety & depression, social interaction (4 components of DALLAS pain questionnaire as found relevant for these patients to assess quality of life) were studied and analysed using appropriate statistical tools. Results: The majority patients were female (n=17) as against males (n=13). The paired t test revealed that there was significant difference in NRS score before and after laser therapy. The paired t test revealed that there was significant difference with positive improvement in daily activities, work & leisure, Anxiety & depression and social interaction scores before and after laser therapy. Conclusion: LLLT like Helium Neon (He-Le) laser has the potential to be used with efficacy in patients of chronic knee pain due to osteoarthritis irrespective of age and sex, especially in Kellgren lawrence OA grade 1, 2 & 3.

Abdominal tuberculosis accounts for 11% of patients of extra-pulmonary tuberculosis. It is also the sixth most common form of extra-pulmonary tuberculosis. Abdominal tuberculosis that presents without pulmonary or general signs/symptoms of tuberculosis is rare events that occur only in 1.2% of the disease. It can result in an intestinal obstruction; however, it is a rare cause of intestinal obstruction that is usually overlooked or misdiagnosed. We report a 17-year-old female patient who’s not known to have any medical illness presented with acute abdominal pain due to small bowel obstruction with no significant effect on bowel habit. Imaging showed free fluid in the abdomen and small bowel obstruction. The patient was managed surgically with adhesiolysis and started anti-microbial therapy. The report describes the diagnostic challenges that abdominal tuberculosis can presents with, especially in patients without accompanying pulmonary or general tuberculosis signs/symptoms. Such a presentation can be a challenge to diagnosed and usually are mistaken with other differential diagnoses. Therefore, clinicians - especially in areas that are endemic with Tuberculosis - need to consider such rare diagnoses and have a high suspicion of tuberculosis in such a presentation.

Customer loyalty is a key objective for organizations pursuing a relationship approach with their customers. Creating and maintaining loyalty with customers is critical for the survival of a company in a competitive environment as in the hospitality sector. The link between customer satisfaction and customer loyalty in the service sector especially in hotels seems to be unclear. Further, limited literature and studies related to customer satisfaction and customer loyalty exist in the hotel sector in Kenya, hence the need for this study. The purpose of this study was to provide an understanding of the effects of customer satisfaction on customer loyalty in the hotel sector in Kenya. The sample size for the study was 253 and six marketing managers who were used as key informers. The study employed purposive, stratified and systematic random sampling. Reliability was tested using Cronbach’s Alpha resulting in a value 0.924. Factor analysis was used for data reduction while simple regression was used to analyze and test the hypothesis. The findings of this study indicated that customer satisfaction (t=13.940, p<.001) significantly affected customer loyalty. It was concluded that an improvement in customer satisfaction would likely result into improved customer loyalty.

The study explored the challenges faced by the teachers of Christian Religious Studies (CRS) in the implementation of the senior secondary school curriculum for the character formation of public students in Owerri Municipal, Imo State, Nigeria. The study adopted a qualitative paradigm, specifically the collective case study design. Two research questions guided the study: What are the challenges inherent in the implementation of the CRS curriculum for the character formation of students? What are the possible solutions to these challenges? The study targeted students, teachers and principals from three public senior secondary schools. The sample size of the study was 66. That is, 54 students, 9 teachers and 3 principals. The researchers employed maximum variation sampling technique in selecting the 3 schools for the study. They used homogeneous and purposeful random sampling techniques to select 54 students, automatic inclusion sampling technique to select 3 principals, and criterion sampling technique to select 9 teachers of CRS. The researchers used interview guide and focused group discussion guide for data collection. For data analysis, they transcribed the interviews, coded the data, categorised the data, derived themes from the categories, interrelated themes from each group of participants, and interpreted the meaning of themes. The findings of the study revealed that administration, teacher and student related factors were the main challenges. These pose threat to students’ character formation. The study therefore recommended that teachers need to use discovery approaches, and use varied instructional resources in teaching. Furthermore, the school community needs to maintain a vibrant life of faith and integrity.

Background: Autism is a neurodevelopmental disorder that affects communication, behavior, and social interaction. Autism’s estimated prevalence among children was about a 15% percent increase in incidence .Positive teacher attitudes are a vital indicator of the successful education of autistic children. The current study aimed to assess the knowledge and opinions of elementary school teachers toward integrating autistic children in their regular classrooms. Methodology: a descriptive cross-sectional correlational survey research design was used to include 79 elementary school teachers recruited conveniently from two schools located in Jeddah, Saudi Arabia. Two reliable and valid tools were used including autism knowledge and opinion scale in addition to behavioral strategies used by the teachers when they are handling autistic children. Findings: The mean age of respondents were 29.2 years, 86.1% having a bachelor's degree, and only 41.8% having training and experience with ASD. Most respondents 82, 3% had poor knowledge, compared with only 2.5% had good knowledge. Only 40.5% had positive opinions about ASD integration. Additionally, there is no significant association between the demographic background of the respondents, their knowledge and opinions except for their teaching experiences at P≥0.05. Conclusion: The present study concluded and highlighted the inadequate knowledge level of ASD and unfavorable opinions of teachers toward integrating autistic children due to lack of training and attending workshops to improve their qualifications. Therefore, more efforts are required to further enhance the understanding of autism among all teachers who handling those students who are urgently needed.

The current study aims to research, systemize and analyze the qualitative characteristics of pharmacovigilance referral procedures which took place in the EU for two years period 2017-2018. For the purpose of the study PRAC decisions and minutes for all procedures which started and completed within 2017-2018 were extracted and systemized. The systemization was made based on several criteria including legal basis of procedure, scope, proposed risk-minimization measures. The results from the study showed that the PRAC’s recommendations are most frequently focused on narrowing patient population and therapeutic indications and enhancing safety monitoring during medicines’ use. National competent authorities play major role both as initiators of referrals and national safety monitors. The conducted analysis shows that conducting PRAC safety referral procedure is a complex and dynamic process where real-life clinical data is valuable source of information. The suggested risk-minimization steps are mainly focused on enforcement of measures already existing in the risk-management plan of the products. They also require a constant follow-up monitoring for efficacy. National competent authorities are leading participants in organizing the work and composing the agenda of the committee.

Background: According to Alzheimer's disease association. The prevalence of Alzheimer's patients will increase to reach 68% worldwide by 2050. More specifically according to Saudi Alzheimer's Association, the number of Alzheimer's patients was reported to be 130 thousand in Saudi Arabia. Therefore, this study looked at assessing the knowledge, attitudes, and level of burden among family care givers having Alzheimer patients. Methodology: A descriptive cross sectional correlational survey design was used to include 150 family care givers from Geriatric Society Association located in Almontazahat District, Jeddah, K.S.A. Three validated tools were used to assess the knowledge, attitudes and burden related to Alzheimer’s disease namely: Alzheimer’s disease Knowledge Scale, The Dementia Attitudes Scale, and Burden Scale for Family Caregivers. Findings: The majority (88.6 %) of the respondents were female, their mean age was (29.2 ± 12.5), and 55.6% had Bachelor level of education. Nearly three Quarter (72.5 %) of the respondents have moderate level (16-24 out of 30) of total knowledge of Alzheimer’s scale. Surprisingly, 78.5% of the respondents had a negative attitude, and 81.9% felt burden towards their Alzheimer's patients. Unexpectedly, a negative correlation was reported between participant's knowledge and their attitude at p ≥ 0.5 while, a positive correlation was conveyed between respondents’ knowledge and family burden scale at p ≥ 0.5. Conclusion and implications: It’s concluded that, the level of knowledge among study participants’ was moderate while their attitude was negative and felt burden toward having Alzheimer's patients. Therefore, it's recommended to conduct psychosocial interventions to improve family caregiver attitudes and reduce their burden toward their beloved Alzheimer’ patients. Comprehensive management of the Alzheimer patients includes building a partnership between health professionals and family caregivers, referral to Alzheimer's Associations, and psychosocial interventions where indicated.

Traditionnal herbal drugs have recently been receiving all over the world. The forest region of Gondia district is harbours plenty of medicinal plants along with other flora and fauna. The ethnic communities mostly depend upon herbal medicines for healing their ailments. The study was done through structural questionnaires in consultation with the tribal practitioners. Herbs and spices have been used in maintaining and enhancing human beauty since time immemorial. Indian women have long used herbs for skin care and natural oils to perfume their bodies. Not too long ago, elaborate herbal beauty treatments were carried out in the royal places of India to heighten sensual appeal and maintain general hygiene.

The legislators augmented the provision of section (22-A), in Criminal Procedure Code in order to provide the alternate platform to the man in the street against the highhandedness of police officials. The powers vested with the Justice of Peace aims to cross check the act of the station house officer whether he has acted legally or illegally under section 154, of criminal procedure code. The situation further aggravated when it becomes the establish practice of every Tom, Dick, and Harry to seek remedy under the shadow of the office of justice of peace. The mechanism outlined in the police order 2002, for the redressal of grievances has been failed. Without putting into operation the departmental hierarchy of police, the powers of Justice of Peace pushed the layman on the horns of a dilemma. The Supreme Court has broken the ice and advanced the line of action in order to address the procedure for the registration of complaints and investigations within the parameters of police order 2002 and ultimately cut this gordian knot. The present study was focus on the analysis of adverse effects of the powers of Justice of Peace on the criminal justice system by explaining the puzzling fact that why Bar councils boycott the turning initiative decided by the Pakistani supreme court in the form of precedent. The nature of administrative power possesses by two offices simultaneously and its adverse effects on the functioning of the criminal justice system. The parliament should play its pivotal role to embrace the proposed reforms from judiciary and national judicial institutions with the high head. A dedicated political will is required to bring new major reforms in order to meet emerging challenges in the criminal justice system instead of to left the room empty for judicature to weather the storm. Some recommendations after analyzing its long-lasting effects on the criminal justice system are also proposed.