University academic society should be made aware that implementation of good governance does not only pose an obligation, but rather a necessity. Along with the increasingly fierce competitive situation, a University must consistently apply good university governance as a system attached to the university dynamics. Implementation of good governance values at universities can be integrated into a higher education culture. This research for the first year aims to identify the concept of the implementation of good governance at private universities in the city of Medan. This research is expected to increase efficiency, transparency, and consistency within private universities in Medan. In order to measure the implementation of the concept of Good Governance at the Private Universities in The city of Medan, the parameters of the aspects of transparency, participation, legal sovereignty or compliance with regulations, accountability, and effectiveness were used. The results of this study revealed that Good Governance has been implemented in Private University in The city of Medan and the aspects of transparency, participation, law supremacy or regulatory compliance, accountability, and effectiveness have well been implemented.

In vitro embryogenesis and plant regeneration were studied in date palm cultivar, Khalas using three osmotic agents (PEG, Mannitol, and Glucose) and NaCl for five different time periods ranging from 1 to 24 hrs. The highest frequency of somatic embryogenesis was recorded in the medium containing 15% PEG in the MS-culture medium. Similarly, the highest number of plantlets was also obtained on the regenerating medium containing PEG under elevated treatment time periods. Mannitol and glucose showed almost the same response at all treatment levels producing on an average 2 to 3 embryos per culture but did not had any positive effect on plant regeneration. Of all the osmtic agents, PEG proved to be better in producing more callus fresh and dry weights followed by mannitol indicating that at this stage these osmotica worked as non-metabolic osmotic agents. The use of NaCl as an osmotic agent produced the most adverse effects on callus fresh weight and embryogenesis, with no embryos formation at 12 and 24 h treatments. These studies revealed that elevated levels of PEG showed stimulating effects and helped in the production of more callus mass, somatic embryos and plantlets formation compared to other osmotic agents used.

Adverse events (AE) are an ongoing challenge in healthcare. Apart from having a significant impact on patient morbidity and mortality, AE also result in increased healthcare costs due to longer hospital stays. However, little is known about AE occurrence and their risk factors in Tunisian healthcare system. To determine the incidence of severe adverse events (SAEs) and identify risk factors associated with SAE during hospitalization in a Tunisian University Hospital. A case-control study with incident cases was conducted including all patients hospitalized in the Teaching Hospital Farhat Hached within a one-month period in 13 clinical units. Medical records for caseswere selected by using stratified random sampling. The sample size was proportional to the number of admissions in each of 13 clinical departments. Controls were matched by the service and the duration of hospitalization preceding the appearance of SAE. Risk factors were collected and analyzed by conditional stepwise logistic regression. Overall, 304 controls were matched to cases, totalizing 456 patients. Multivariate conditional stepwise logistic regression analysis showed that night-time admission, hospitalization in the last six months, difficulty of communication, longer surgical operation, biopsy, presence of at least two medical devices, exposure to peripheral venous catheter, exposure to more than four medications and blood transfusion were considered as independent risk factors of SAE occurrence. Our results highlighted care-related risk factors such as catheters, blood transfusion and polymedication, which underlined the need to strengthen the care safety by focusing efforts especially in the field of hospital hygiene and infection control as well as pharmacovigilance

Nipple trauma is a common complaint among breastfeeding women and it is one of the main reasons why some women decide to stop breastfeeding. It confronts nursing women 3-6 days after birth, especially primipara. Nipples become painful and start to show small cracks, which may bleed. This study aimed to test effect of olive oil application to nipples during late pregnancy on prevention of post partum nipple trauma .Subjects and methods (One group time series) quasi-experimental design was adopted in this study to achieve the stated aim. Purposive sample of 100 pregnant women who met inclusion criteria were recruited for the study from antenatal clinic of Obstetrics and Gynecology Hospital. Data were collected through 4 tools (I) Maternal structured interview questionnaire, (II) Nipple soreness rating scale (NSR),(III) Nipple trauma score (NTS), (IIII) WHO B-R-E-A-S-T Feed observation form. Procedures were carried out through four phases Interviewing, Pretest, Intervention, Posttest. Results The study finding revealed that 67% of the study sample had no nipple trauma (score 0) according to nipple trauma score assessment at 3rd day after starting breastfeeding, it was also revealed that their is a highly significant relation between period and frequency of application of olive oil to the nipples during late pregnancy and incidence of nipple trauma with breastfeeding (p=.000).This study concluded that Olive oil is effective for prevention and treatment of nipple trauma. The study recommended that application of olive oil during late pregnancy is beneficial in prevention of nipple trauma.

Projects remain the instruments of choice for policymakers in national and international development. In Africa and other third world countries, development projects play a great role in providing basic social services. The main focus of this study was to access effects of monitoring and evaluation on successful implementation of projects in non-governmental organizations of Kajiado County. The study covered a population is 110 employees and used stratified random sampling where 50% of the entire target population formed the sample size 55) of the study. Data was collected from both primary and secondary sources using questionnaires. The findings were presented using graphs, pie charts and table diagrams respectively depending on the techniques. Based on the study findings, monitoring and evaluation 95% said it affects successful implementation of projects in non-governmental organizations of Kajiado County while 5% disagreed, on staff training 88% said it affects successful implementation of projects in non-governmental organizations of Kajiado County while 12% disagreed, The researcher recommends that monitoring and evaluation of project since it is very essential in improving performance, is also very complex, multidisciplinary and skill intensive processes. In relation to staff training the nongovernmental organizations should be able to improve the competency of personnel. It was highly recommended that monitoring and evaluation of project since it is very essential in improving performance, is also very complex, multidisciplinary and skill intensive processes.

This paper investigates the mechanical properties of an aluminium oxide reinforced Eposand composites. The matrix a brand of epoxy was obtained from Shell Petroleum Development Company (SPDC) and reinforced with particulates of alumina in micro-scale. The resin and hardener were mixed and compounded in the ratio of 2:1 and through the application of centrifugal force was thoroughly compounded with the fillers. Two main mechanical tests of tensile and compression where carried out to obtain tensile, compressive, and yield strength of the composites. Four samples of 10%, 20%, 30%, and 40% by weight of alumina with five replications each were prepared and subjected the tests in accordance with ASTM D3039 and ASTM D3401M for tensile and compressive tests respectively. Maximum compressive strength of 133.3 MPa was recorded for 30% of filler, while maximum tensile strength of 7.9 MPa was obtained 10% of filler. An optimal yield strength of 3.4 MPa was recorded at 20% weight of filler. The analysis showed that the compressive strength increases with increase in percentage weight of alumina.

Abstract: Protein- energy malnutrition, wasting and inflammation are frequent complication among patient with Chronic kidney disease (CKD). Malnutrition is associated with cardiac co-morbidity, inflammation and poor survival in CKD patients. Serum albumin is a well-known negative acute phase protein, marker of nutrition in CKD patients. C-reactive protein (CRP), the major acute phase response (APR) protein is elevated in these patients. High CRP levels are linked to the degree of atherosclerosis in coronary, peripheral, and extracranial brain arteries. The aim of the present study was to investigate nutritional factor (albumin) and CRP levels in CKD patients. This cross –sectional study was carried out in the Department of Biochemistry in collaboration with the Department of Medicine, Guru Gobind Singh Medical College & Hospital, Faridkot .Study involved 100 pre dialysis CKD patients (age 40.5 ± 12.3 years) admitted indoor and attending outdoor .Following investigations were carried out –CRP by fluorescence immunoassay method utilizing latex particles coated with CRP monoclonal antibodies (I-chroma). Serum albumin levels on fully automated chemistry analyzer Renal function by estimated glomerular filtration rate (eGFR). The data was later statistically analyzed. The study patients included 57 males (57%) and 43 females (43%) with average age of 40.5±12.3 years. The mean GFR was 38.3 ± 16.4 ml/min/1.73m2. The mean value of CRP was 10.93 ± 1.42 mg /dl. 67% of patients had elevated CRP (> 6 mg/L) with low serum albumin levels were present with mean value (3.02 ± 0.17 gm/dL). This study showed that low albumin and high CRP levels are the main predictors for death. There was a significant difference between CRP and albumin levels in CKD patients (P<0.001). Measuring CRP as a marker of inflammation can be helpful in managing these patients and Low levels of albumin are a marker of poor nutritional status in CKD patients. Our results indicate that CRP(as marker of inflammation) and albumin(as marker of nutritional status ) were very closely related to each other ,as the levels of CRP increased the albumin goes on decreasing due to degree of inflammation , malnutrition and decreased synthesis by liver exists in pre-dialysis CKD patients.

Esthetic tooth replacement is a challenging procedure for the dentist, patient, and technician. Loss of the anterior teeth with existing diastema may result in excess space. Various treatment options are available for the replacement of multiple anterior teeth. These options include partial removable dental prosthesis (RDP), an implantsupported prosthesis, and conventional fixed dental prosthesis (FDP). FDP, along with loop connector, is the best treatment option but not on those with limited interocclusal space and with deep bite. The cantilever FDP with canine and lateral incisor is the proper choice for such case. The cantilever FDP design enhances the natural appearance of the restoration and proper contour, emergence profile, and dental forum. This clinical report describes a technique that fabricates a bilateral three-unit metal ceramic (MC) cantilever FDP to achieve optimal esthetics and functional correction for patients with missing maxillary central incisors along with diastema in between central incisors.

Once prescribed, within a hospital structure, the drug will follow a complex circuit, involving many intermediates, human and technical, and leading to the drug administration and its monitoring. From the point of view of pharmaceutical practice, the circuit is of course made of an important logistic part but also of a clinical part often underestimated but nevertheless essential to the safety of the patients during their stay in the hospital. In order to be able to combine the logistic and clinical aspect of the pharmaceutical activity in a hospital environment, it is essential to adopt an appropriate dispensing mode that allows to better secure the patient's medication management. The purpose of this article is to describe the practice of the nominative dispensing in hospital and to share the experience of introduction of this practice at the pharmacy of the Moroccan Institute of Oncology

In this paper, based on WuZhiWen's 2002 construction method on comprehensive index of financial fragility, respectively from the fragility of the financial market subsystem, the fragility of the banking subsystem, the fragility of the financial supervision subsystem and the fragility of the macro-economic environment subsystem, to measure the degree of China's financial fragility during the period of 1997 to 2016. Then taking the four subsystem indicators and comprehensive indicators into the Wurgler's 2000 model of capital allocation efficiency. The result shows that, firstly, China's financial fragility generally declined in 1997 to 2016, and the fragility of the financial supervision subsystem was the highest. Secondly, the financial fragility has an inhibitory effect on the capital allocation of China's real economic capital, which the financial supervision subsystem has a particularly obvious suppression on it.

The main purpose of this study is to explore the mediating role of occupational health & safety standard relationship between organizational innovation and business performance. Secondly, in order to get achieve this core objective of predictor direct and indirect relationship estimate on business performance. Methodology in this study was constructed mainly on the basis of quantitative method, where quantitative research estimated of essential to recover the knowledge base and measurement of vital aspects regarding the characteristics of management tools into test the hypotheses. This study has conducted been by stratified random sampling in which data were collected from Bangladesh ready-made garment factories. Data has been collected by survey questionnaire instrument. The data used that obtained from primary sources of survey questionnaire method. There are three hypotheses have been developed through literature review that tested using through correlation and liner regression analysis executed by SPSS 20.v software. Findings-while execution of survey data the mediating impact of occupational health & safety standard, it was found that statistically significant and positive impacts on the relationship between organizational innovation and business performance improved. Both predictors are highly correlation of each other with business performance to the significant and positive relationships. Recommendations- Further studies including with other standards can combine together to test and verifying the structural equation model concerning of measurement model and structural model fits.

This study aims to determine the improvement Skills Process of Science after developing science-learning media about human waste-based digestive systems. The research was conducted at SDN Kapuk 02. This research used R & D research method which refers to Dick and Carey model. Respondents in this study consisted of expert test (media, language, and material), one to one, testtrial small group, andtest fieldtest. The results of the development of Torso Digestive System Human assessed by media experts ie 88.3%, material experts 90%, and linguists 93.3%. The next stage of Human Digestive System Media performedtrial one to one with 89% product feasibility, trial small group with 90.1% product feasibility, and field test with 90.4% feasibility. Assessment made into the category is very good. PPP in this research was conducted by classroom teachers. Classroom teachers conduct assessments before and after media use. At the time before using the Human Digestive System media, the student's KPS earned an average of 68.7%, after using Human digestive System media has increased to 89.5%. This indicates that the Human digestive system media improves student's KPS until it reaches the completeness criteria. Thus the media of Human Digestive System has effectiveness to the student's KPS.

Acute intestinal obstruction is a common surgical emergency that a general surgeon comes across and one has to accomplish the skills of diagnosing art of Surgery and knowledge of postoperative management, which carries gratifying results. With this in mind, we in this study the tried to evaluate the symptomatology of Intestinal Obstruction to study the various causes of intestinal obstruction modalities of surgical procedures and its outcome. Methods: The cross-sectional study was conducted at the Department of General Surgery, Prathima Institute of Medical Sciences, Karimnagar. A total of hundred patients belonging to both sex groups were included in the study. All patients were evaluated thoroughly from their history and clinical examination. Patients with signs and symptoms of acute obstruction were managed by appropriate surgical procedure after resuscitation and the diagnosis was established. The postoperative period was monitored carefully and all parameters were recorded hourly or fourth hourly basis depending upon the resuscitation and the diagnosis was established. Results: The most common involved age group was 31 - 40 having 40% of the patients followed by 14 – 50 has 38%. Adhesions are the most common cause of intestinal obstruction accounting for 36% of the cases. Malignancy of the large bowel was found to cause obstructive features with a single case being due to ascending colon growth, one case of small bowel tumor and the 7 is due to recto-sigmoid growth, 2 descending colon, thus a total of 11 cases of malignant obstruction. 39 patients who underwent surgical procedure had no complications. 25 patients had wound infection with wound gaping and had to be treated with secondary suturing. 8 patients who underwent surgery expired with an overall mortality rate of 8 %. Conclusion: Clinical radiological and operative findings put together can bring about the best and accurate diagnosis of intestinal obstruction. Intestinal obstruction with tuberculosis of the intestine is more likely to develop postoperative complications, proper anti-tubercular management is necessary to prevent mortality and morbidity.

Mandible is one of the strongest bones of the facial skeleton; still it is it has structures like condyles which are prone to fracture due to its anatomy and distribution of heavy masticatory and other functional load. Mandibular condyle fracture accounts for 25-35% of the mandibular fractures. A prospective demographic study was done at Bapuji Dental College & Hospital, Davangere, to determine condylar fractures occurring in north Karnataka region. A total of 16 condylar fractures were assessed in a period 2015- 2017.

Diabetes Mellitus type 2 is a group of disorders characterized by high glucose levels. Electrolyte abnormalities are commonly encountered in chronic diabetes mellitus type 2 patients. These patients usually have Potassium, Magnesium and Phosphate depletion. This study was conducted to investigate the electrolytes and lipid abnormalities in chronic type 2 diabetes mellitus in patients attending Rajiv Gandhi Institute of Medical Sciences and Hospital Adilabad. This study was conducted in the Department of General Medicine and Biochemistry, Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad. The study included male and female subjects diagnosed with chronic diabetes mellitus type 2. Chronic diabetics were defined as those diagnosed with diabetes mellitus type 2 and on medications, for the duration of 5 years or more they were designated as Group I. Similarly age and sex-matched controls from the normal population were included in Group II as controls. Fasting blood samples will be collected in Vacutainer 10ml and serum fasting blood sugar, Serum Electrolytes and lipid profile will be estimated in fully automatic chemistry analyzer ‘Beckman Coulter Au 400’. The results obtained were recorded and analyzed using statistical software. Results: A total of 100 patients were included in the study divided into two groups Group I (diabetics) and group II (controls). The serum fasting blood glucose was measured in group I the mean values was 174.5 ± 25.6 mg/dl and in group II 96.5 ± 20.5 mg/dl the p values were found to be significant. The triglyceride levels as compared to controls the mean values in group I was 201.55 ± 35.8 mg/dl and group II was 190.5 ± 30.12 mg/dl the p values were found to be significant. The potassium levels were also elevated in the group I (diabetic) as compared to group II and the p values were found to be significant. It can be concluded that type 2 diabetes patients have abnormal lipid and electrolyte balance. The impaired mineral metabolism can result in disturbances in enzymatic activities, hormone secretions, and antioxidant levels. Therefore monitoring of these patients every 3 months will help in preventing the occurrence of long-term complications related to diabetes