This research reveals the improvement of Indonesian students’ mathematical problem solving skill taught by problem-based learning with realistic model. Experimental research design was used and the population of the research was junior high school grade VIII students of Muhammadiyah 25 in Rantau Prapat Indonesia. Two classes with 30 students in experimental class I and 30 students for experimental class II were chosen as the sample of the research. Moreover, data found from pretest and postest of experimental class I and II were collected and calculated by Gain Hake pattern. The finding of the research showed that students posttest result after having taught by implementing problem-based learning with realistic media was 82, 08, and students taught by conventional teaching strategy was only 76,35. Furthermore, based on Gain pattern analysis, problem solving skill of experimental class I was higher with 0,61 than students taught by implementing conventional teaching strategy with only 0,46. Then, based on t-Test it was found that students’ problem solving skill with tobserved= 3,961 and t table = 2,00. In other words, t observed> t table, 3,961 > 2,00. This research conluded that students’ problem solving skill was higher when they were taught by problem-based learning with realistic media.

Atherosclerosis is one of the major causes of increased morbidity and mortality associated with coronary artery disease, cerebrovascular accidents, and peripheral vascular diseases. Dyslipidemia is one of the important causes that result in atherosclerosis. The incidence of atherosclerosis has been on the rising recently. Therefore prevention of dyslipidemia can decrease the development of atherosclerosis. Aims: The study was undertaken to determine the efficacy of atorvastatin alone and its combination with omega-3 fatty acids in the management of hyperlipidemia in patients attending a tertiary care hospital. Methods: This study was a cross-sectional prospective study conducted in the Department of Pharmacology and General Medicine, Kakatiya Medical College and Hospital, Warangal. The patients were selected from those visiting General Medicine OPD and diagnosed with hyperlipidemia. Sixty patients in the age group of 20 – 70 yrs, were recruited based on inclusion and exclusion criteria. They were divided into two groups. The Group I included the patients receiving Tab. Atorvastatin 10mg/day and Group II Atorvastatin 10mg/day plus Cap Omega-3 fatty acids 600mg/day for the duration of six months and follow up were done every month. Efficacy of treatment was assessed by the changes in laboratory parameters of Total cholesterol, Triglycerides, HDL-C, LDL-C, and VLDL-C. Results: The efficacy of combination therapy i.e., Atorvastatin plus Omega-3 fatty acids showed a statistically significant rise in HDL cholesterol with the mean percentage difference of 4.24% when compared to monotherapy with Atorvastatin. The efficacy of other parameters like total cholesterol (TC), LDL cholesterol, VLDL cholesterol, and triglycerides (TG'S) levels with the low dose of omega-3 fatty acids in combination therapy was not statistically significant and produced nearly identical alterations in serum lipoprotein levels when compared to monotherapy. Conclusion: Although statins are being used as first-line therapy for hyperlipidemia and in patients with elevated triglycerides. For patients with elevated LDL-C and low HDL-C combination therapy appears to be a better option. Thus omega-3 fatty acids may be a potential supplement for combination therapy apart from niacin and fibrates.

This research focused on the enhancement of Indonesian accounting vocational students’ achievement andcharacter taught by applyingTwo Stay Two Stray model. This model was derived from cooperative learning model that provided the opportunities for students who weredivided into some groups to share and to exchangeboth knowledge and information with other groups. To achieve the aims of the research, quantitative method was used with 2 x 2 ANAVA research design. By applying random purposive samplinggrade X vocational students of SMK Al Washliyah Medan were chosen as the sample of research. There were 32 students for each experimental class I and II. The instruments used for students’ achievement was test, while, questionnaire with Likert scale was used as the instrument of students’ character. Then, all data found were analyzed by using general linear model with SPSS 22 IBM to identify both the score achieved and each indicator of questionnaire related to students’ character and achievement on accounting subject. Based on data analysis, through Kolmogorov – Smirnov with Sig 0.325 <0.05, it showed that all the data were distributed normallyand the data were distributed homogenouslyas well by applying Levene’s test with Fobserved> Ftable (0.639 > 0.05).Furthermore, by applying general linier model with Sig < 0,05 (0,000 < 0,05), it is found that students’ character were not affected by implementing Two Stay Two Stray Model withSig > 0,05 (0,791 > 0,05). Ho was accepted with Sig 0.491 > 0.05 which showed that there was no interaction occured between students’ achievement and character taught by Two Stay Two Stray Model. However,students’ characeter in experiment class 1 was higher than experimental class 2 with some characters’ value built, namely; religious, respectful, honest, discipline, creative, independent, communicative, and responsible.

Diffuse large B cell lymphoma (DLBCL) of the ethmoid sinus is very rare entity. The presenting symptoms are usually similar to those of benign inflammatory diseases. We report a case of a 50-year-old male patient who presented with acute onset progressive proptosis right periorbital swelling, redness and treated initially as periorbital cellulitis secondary to right maxillary and ethmoidal fungal sinusitis, but proven to have be a diffuse large B-cell lymphoma (DLBCL) of the ethmoid sinus. HIV serology was negative. The patient was referred to the department of oncology where chemotherapeutic treatment for the lymphoma. We emphasize the importance of considering primary lymphoma of the ethmoid sinus in the differential diagnosis of periorbital cellulitis and refractory rhinosinusitis, to help in early diagnosis, which can improve prognosis.

The article investigated students attitudes towards choosing Information technology and computer science courses in relation to gender. The study adopted an observational, cross-sectional exploration design with both quantitative and qualitative methods of data collection. A structured questionnaire and an interview guides were employed togather information from the respondents. Data was analyzed using frequency tabless. Study findings showed that there was a positive correlation between attitudes of students towards choosing Information technology and computer science course relating it to gender. The study recommended that there is need to advertise and give scholarships to young females to specifically pursue Information technology and computer science courses. There is need to encourage girl child education through the practice of positive discrimination and affirmative action in society. The society should be sensitized on the importance of a girl child so that elimination of gender stereotyping becomes easy. The study also suggests encouraging female candidates to apply for Information technology and computer science course and addressing gender-imbalance through student development programs. Universities should organize workshops or visit secondary schools and complain for a girls to take up Information technology and computer science course and also tell them that it is possible for them to do the course and should be told that Information technology and computer science is not only meant for males only, everyone can do it irrespective of sex and gender.

The main objective of the work was to evaluate the acute and subacute toxicities of the combinated of aqueous extracts of the bark trunk of Musanga cecropioides and the fruit of Combretum micranthum. The respective extraction yields of 12% and 3.6% were obtained for Combretum micranthum and Musanga cecropioides. Tests of alkaloids, sterols, terpenes, phenols, flavonoids, saponins, coumarins, reducing sugars, tannins were positive with at least one solvent while those of anthraquinones and anthocyanins were negative, with all solvents whatever the species considered. At the end of the fourteen days of study of the acute toxicity, no abnormality of the studied parameters was observed, except for the aggressiveness of the rats, during the first five days. Most parameters varied in different groups during the subacute toxicity study. The values of blood biochemical and hematological parameters of the rats fluctuated sometimes. The study pharmacological activities in vitro and in vivo would allow the development of medicinal products based on these medicinal plants.

Educational systems all over the world have acceptable and justifiable best practices necessary for impartation of knowledge, skills, attitudes, values and modes of thinking to learners by teachers and those who occupy similar positions in society. But it is evident that there are also some objectionable methods employed in the classroom, and similar places, among them are drilling, conditioning, indoctrination, instruction, and so on. This paper casts a critical look at indoctrination: its sources, the necessary conditions for a person to be indoctrinated, and an assessment of indoctrination vis-à- vis education. The paper finally examined the implications of indoctrination for education in Nigeria, and made recommendations to ameliorate perceived deteriorating trend in the system.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) which acts as an analgesic and antipyretic drug. This research work was aimed at demonstrating the effects of oral administration of indomethacin on some biochemical parameters in plasma of male wistar albino rats. Each of the 15 male wistar albino rats in experimental group one was given 2mg/kg of indomethacin capsule daily for two weeks while the other 15 male wistar albino rats in the experimental group two were given 2mg/kg each of indomethacin daily for four weeks. However, the 15 male wistar albino rats in the control group were not administered with indomethacin. Five ml blood specimen was collected from each of the groups into lithium heparinized anticoagulated bottles respectively. The specimen was spun and the plasma obtained was used for the quantitative measurement of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, urea and creatinine. The results revealed significant elevations (P<0.05) in the mean values of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, urea and creatinine in the male wistar albino rats administered orally with indomethacin for four weeks as compared to that of the control group. It was further revealed from the result that the mean values of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, urea and creatinine were not significantly elevated (P>0.05) in the rats administered with indomethacin for two weeks as compared to that of the control group. The elevated levels in the mean values of the rats orally administered with indomethacin for four weeks may suggest damage on their liver and kidney. It is therefore recommended that further histopathological examinations of these organs be carried out in order to ascertain the extent of damage.

This paper takes „postgraduate degree authorization evaluation of China University of Geosciences (Beijing) in 2016-2017‟ as an example to analyze the evaluation index system, evaluation process and existing problems of degree authorization institutions in China, and finally proposes corresponding policy recommendations for improvement, in order to provide reference for the qualification evaluation of postgraduate degree authorization units and the construction of students‟ training quality supervision system.

Costello Syndrome (CS) is a rare congenital disease characterized by a wide range of cardiac, musculoskeletal, dermatological, developmental and dental abnormalities. Intraoral, enamel defects, delayed eruption and malocclusion, are the most common findings. We report the case of a three-year-old girl who was referred to the pediatric dentistry department of hospital la Rabta (Tunisia). It exhibited many of the dental manifestations of CS as well as general abnormalities. In our early treatment approach, the anterior teeth which presented enamel defect were restored with composite resin to adjust the incisor shape and improve esthetics and chewing function.

The study aimed to identify the impact of the Know, Want to know and Learn (KWL) strategy on the acquisition of scientific concepts in science among the third grade students in the directorate of education of Irbid. The semi-experimental method was adopted and the study sample consisted of (60) male and female students from the third grade from Irbid's schools; they were distributed into two groups: control group consisting of (15) male students and (15) female students and experimental group consisting of 15 male students and 15 female students. The results showed statistically significant differences for the variable of the group in the post-test in favor of the experimental group, whose members were taught through using the (K.W.L), statistically significant differences for the variable of gender in favor of the females and no statistically significant differences in the post-test. The researcher recommended adopting a teaching method through using the cognitive maps in teaching science due to their impact on acquiring the scientific concepts.

We present the lower eyelid reconstruction using prelaminated nasolabial skin flap in a 28- year old albino, who presented with medial third lower eyelid lesion with a histopathologically proven basosquamous carcinoma. When dealing with skin cancers of the eyelid, it could involve partial and full thickness excision. The excised tissues should be replaced. The eyelid ulcer was excised, with histogically free margin of 3mm but the medial canthus was spared. There was no injury to the nasolacrimal duct. The excised defect measured 28mm by 19mm of the medial lower eyelid. In the first stage of the reconstruction, a turn over proximally based nasolabial flap was raised and stitched to the excised margin of the lower eyelid. The flap was prelaminated with skin graft taken from the upper medial aspect of the thigh which was hairless. The graft had 100% take and after two weeks, the nasolabial flap was divided and inset. There was satisfactory graft and flap survival. About 8 weeks after the second staged surgery , the nasolabial flap was defatted and a functionally as well as aesthetically acceptable eyelid to the patient was achieved .The use of prelaminated nasolabial flap is a good option in the lower medial third eyelid reconstruction .

Geography textbooks are an important tool for geography teachers to carry out classroom teaching. Full understanding of textbooks can help teachers flexibly choose the teaching contents and better achieve teaching goals. Taking the chapter of “Climate” as an example, this paper analyzed the textbook from four aspects: internal and external relations of knowledge structure system, requirements for curriculum standards and teaching goals, the key and difficult points and teaching hours assignment, picture and text structure of the textbook. The article also puts forward three suggestions: (1) Junior middle school geography teaching should link to real life; (2) “Activities” in the textbook should be combined with the “Text”; (3) Summarize the knowledge points in the form of tables.

In recent times, there is an explosion of cosmetic procedures in the world. Nigerians have been going out of the country for these procedures. No study has been done to find out the likelihood of Nigerians to accept these developing procedures. The study is aimed at evaluating the factors that influence the acceptance of cosmetic procedures in South-South, Nigeria. A simple random sampling of 280 undergraduate students of the University of Calabar using questionnaires to evaluate the factors that influence the acceptance of cosmetic surgery in the region. The correspondents demographic data, the socio-cultural factors, economic status, personal self- rating of physical attractiveness, self esteem, personal experience with somebody who had undergone cosmetic surgery, cost and the willingness to undergo cosmetic surgery in the future were all assessed. A descriptive statistical analysis of data was used to evaluate the study. The respondents reported greater dissatisfaction with their body image, the influence of media, socio-cultural influence on physical appearance as the leading factors that influence the non clinical client population to undergo cosmetic procedures. Women reported greater likelihood of undergoing cosmetic surgery. Cost and religion did not have significant influence. The factors that influence the acceptance of cosmetic procedures among our people are multi-factorial. However, the dissatisfaction of the body image, socio-cultural factors, media and their personal experiences with people who had undergone cosmetic surgery was the motivating factors for the acceptance of cosmetic surgeries in the sub-region .It therefore, becomes necessary for the cosmetic surgeons in Nigeria to put in place suitable institutions to perform and improve on this practice.

This study sought to investigate the challenges faced in mother tongue education in selected Primary schools in Nandi County, in the Republic of Kenya. Mother tongue education is usually taken as a basic human right, but despite the importance of this education myriad of problems bedevil its execution. Challenges in mother tongue education have not only been reported in many fora in Nandi County but also elsewhere in Kenya; however, no systematic study has been carried out to document these challenges, their nature and their causes. The main objective of the study was to find out the challenges of mother tongue education in Nandi County and the possible solutions to these challenges. The study adopted a case study design against a backdrop of mother tongue theory by Butzkamm (2000) which advances the argument that mother tongue education forms the basis of a child‟s acquisition of knowledge, additional languages and self-expression. This theory is built on the foundations of arguments raised by Tangas and Toukomaa(1976) claiming that a certain threshold of first language competence is needed for second language learning. A stratified random sample of 20 Head teachers, 20 lower Primary SchoolTeachers, and 5 education officials was drawn from selected schools in Chesumei sub-County in Nandi County. The main instruments of data collection were structured and semi-structured questionnaires. Data was organized and analyzed using descriptive statistics. The study identified three major challenges facing the implementation of mother tongue education in Nandi County namely: attitude of education stakeholders; teacher related factors and lack of instructional materials. The results of this study are expected to benefit scholars in applied linguistics, ministry of education and policy makers in education.