The study examined the effect of entrepreneurship on the organizational growth of HAPEL company, Emene, Enugu State. The specific objectives were to: Evaluate the effect of entrepreneurs planning on organizational operations and examine the extent of entrepreneurship activities in achieving efficient inventory planning. The research survey design was used. A population of 321 was used and sampled. Out of workers sampled 298 staff returned the questionnaire and accurately filled. The validity of the instrument were tested using content analysis, and the result was good. The reliability was tested using the Pearson correlation coefficient (r). It gave a reliability coefficient of 0.85 which was also good. The data were analyzed using the F- statistic tool (ANOVA). The findings include: there is a significant effect of entrepreneurial planning on organizational operations. F(95, n = 321) = 6649.857, p < 0.05; Entrepreneurship activities have significant effect on achieving efficiency in inventory control. F(95, n = 321) =4471.534 , p < 0.05. The study recommends that to determine successive phases of growth and development, resources need to be reconfigured during the transitions between stages, there is a limited study on the growth path of the entrepreneur on SMEs. The study concludes that growth of any industrial organization is attributed to the contribution of entrepreneurship because of their effort in providing services and other technical outputs to the industrial organization is attributed to the contribution of entrepreneurship because of their effort in providing services and other technical inputs to the individual organizations.

Marketing efficiency as a concept is strongly linked to many of the core organizational results, such as long-term growth, stability, customer satisfaction, competitive advantage, and strong market orientation. Marketing effectiveness depends on the company's goals. Due to the growing demand for marketing professionals, one needs to focus on a system where both short-term and long-term financial impact can be measured on the company's market investments. Marketing effectiveness measurement is a business process that shows the results of specific marketing decisions. The effectiveness of marketing activities should be defined as the return on the funds invested in these activities.

The government of Kenya recognizes the importance of implementing strategic of plans in schools as the key approach of management of institutions, strategic planning is very crucial in realization of management outlook for the Kenyan vision 2030. The purpose of this study was to investigate networking dimensions as determinant implementing strategic of plans in public secondary schools, Bungoma County Kenya, The study sought to examine stakeholders influence on the implementation of strategic plan in public secondary schools. The study was guided by a mixed method Research design. The study sample comprised of 9 sub-county education officials, and 85 principals. The respondents were selected using purposive and simple random sampling technique. Cronbanch‟s Alpha coefficient was used to test reliability of the instruments. The findings of this study revealed that stakeholders influence have a significant relationship with implementation of strategic plan in public secondary schools. The study recommended that the management on public secondary schools should consider adopting training programmes during strategic plans implementation process, this will help the institutions to gather valuable information that will provide valuable insights in the strategic plans implementation. This study will help the government, educational managers, principles, teachers and relevant stakeholders to improve on their strategic plan implementation and generally the way of operations.

Systemic lupus erythematosus (SLE) is a prototypic systemic autoimmune disease with variable multisystem involvement and heterogeneous clinical features. Haematological abnormalities were common findings in patients with SLE. Sometimes, haematological abnormalities can be caused by the pathophysiology of SLE itself, but at other times the anaemia may not be directly related to the SLE. This retrospective study included patients who were diagnosed according to the American college of rheumatology criteria and treated for SLE from April 2015 to March 2018 at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Ogun State, Nigeria. The Demographic and haematological parameters at diagnosis were recorded. A total of 26 SLE patients were seen. All the cases were females and the mean age was 33.3± 8.9 years. Twenty-two (84.6%) had haematological abnormalities. Anaemia was present in 20 (76.9%) patients with a mean hemoglobin value of 8.6 mg/dl at the time of first presentation. Leukopenia was seen in 6 (23.1%), lymphopenia in 17 (65.4%), thrombocytopenia in 8 (30.8%) and 2 (7.7%) patients presented with anti-phospholipid antibody syndrome. The most common hematological abnormality among our patients was anemia which has a multifactorial aetiology. Lymphopenia was far more common than leucopenia.

Features of Military English Science and Technology (MEST) have been introduced, and accordingly its translation principles are put forward. At the same time, difficulties in the translation of MEST are analyzed, that is, a large number of professional terms, abbreviations and old words with new meanings making it difficult for translators and interpreters to understand. Meanwhile, MEST are not open to the public, which also reduces translators‘ chances to learn professional materials, resulting in underdeveloped translation studies. To be engaged in translation and related research on MEST, translators must have excellent English language skills, extensive scientific knowledge and solid Chinese language skills to ensure the accuracy of information transmission and to enhance the readability of the translation.

This paper engages Business Model Generation via the Business Model Canvas developed by Osterwalder and Pigneur as a case-based approach to understanding organizational challenges and crisis stemming from business model deficits. The author uses the H. Wayne Huizenga College of Business and Entrepreneurship, the business school of Nova Southeastern University, as a case in point (based on his experience working for the institution and his understanding of its business model and challenges) to explore the Business Model Canvas as a critical tool for organizational strategic considerations and improvements. The author applies the nine (9) components or building blocks of the Business Model Canvas (Osterwalder, & Pigneur, 2010) to the Huizenga College of Business and Entrepreneurship in order to examine its value creating activities and challenges. The result is an analysis providing further understanding of the Huizenga College of Business and Entrepreneurship and its features that may be critical to understanding the building blocks of the Canvas, and which may consequently inform similar organizations in their quest to develop better business models, achieve innovation, and gain sustainable competitive advantage in today’s global economy. Using a critical case study approach, the Business Model Canvas is explored and recommendations specific to the case in point are presented.

Transfusion of Fresh frozen plasma is relatively common in neonatal intensive care units. Most common indications for transfusion being neonatal sepsis, deranged coagulation profile or co existence of both these conditions. However a universal protocol for FFP transfusion in neonates is lacking, leading to injudicious administration of FFP to neonates in many hospitals and thus exposing them to untoward risks of transfusion. This is our attempt towards analyzing the use of FFP in our neonatal intensive care unit and our compliance with the established guidelines (AIIMS protocol for FFP transfusion in neonates). Data was collected retrospectively of all the neonates who received FFP transfusions in our hospital from January 2014 to December 2017 and relevant analysis was performed. Most of the neonatal transfusions (93%) at our hospital during the study period were compliant with AIIMS guidelines. Most common indication for transfusion was bleeding manifestations followed by sepsis and deranged coagulation profile. However on analysis of pre and post transfusion coagulation parameters in these babies, no statistically significant improvement was seen. FFP was often used in accordance with the published guidelines in our study. However evidence based uniform guidelines need to be established and implemented to increase the benefit and minimise the risk associated with transfusion, especially in newborns.

It is not hard to find plenty of children’s poetry in ancient China, exhibiting children’s creative contents and literary skills. Taking examples mainly from Fifty Selected Children's Poetry in Ancient China: English Translation and Appreciation, this paper applied the Three-Level Criteria of poetry translation by Dr. Wang Feng to analyze several English translations of children’s object-chanting poetry in ancient China. In children’s object-chanting poetry translation, at the macro-level, the criterion is Harmony; at the middle level, the theory of “resemblance in style, sense and poetic realm”; at the micro-level, the criteria of Eight Beauties, centered on the beauty of emotions and images. Based on these analyses, this paper aims to test the validity of the "Three-Level Criteria of poetry translation" and hopes to guide and promote the theoretical and practical studies on the English translation of children’s poetry in ancient China from a new perspective.

Prostate gland of male reproductive system is about the size of walnut and surrounds the urethra. With increasing life expectancy, increasing awareness and better health services, lesions of prostate has become a common specimen received for diagnostic of both benign and malignant lesions which may have a very similar presentation but their management and prognosis is quite different. Most important investigation is the biopsy of the prostate. A histopathological study of features of the lesion gives best diagnosis. Our objective of study is to evaluate the spectrum and correlation of prostatic lesions with presenting complaints of the patient. It was a combined cross-sectional study conducted in Pathology Departments of both Bhaskar Medical College and Satya Diagnostic Centre, Himayath Nagar during the period from November 2015 to October 2017.

Strong writers actively and metacognitively involve themselves in the writing process by spending more time recursively planning and refining their writing by actively monitoring and adjusting the text they are generating and by maintaining an awareness of their audience. Research shows that training in Meta-cognition Strategies that are used to Improve Writing Disabilities and performances have been successful. The purpose of the present study was to study Comparison of Using Metacognitive Strategies on Writing Performance in Private and Government Schools in Jordan. We have investigated the effect of Meta-cognitive strategy training through the use of explicit and teaching intervention strategy instruction on Improve Writing Disabilities among 12th Standard students. To reach the goal of the study two groups of Writing Disabilities in 12th Standard students were randomly assigned to a control and an experimental group. The experimental groups received instruction on Meta-cognitive strategy training through a 12- week period of instruction while the control groups received traditional way. The result of the study showed that explicit Meta-cognitive strategy training has a significant positive effect on Improve Writing performance and Disabilities in 12th Standard students. The collected data were analyzed by using SPSS software version 23.

Endoscopy with endoscopic biopsy is currently the major method of diagnosis of gastrointestinal (GI) neoplasms. A total of 60 endoscopic biopsy specimens from upper and lower gastrointestinal tract were studied in the laboratory from November 2013 to October 2014 in the department of pathology, Acharya Shree Chander College of Medical Sciences and Hospital (ASCOMS), Jammu. Of these gastrointestinal biopsies 25 (41.66%) were from upper gastrointestinal tract and 35 (58.33%) were from the lower gastrointestinal tract. Among these upper and lower GI biopsies a total of 35 (58.33%) suspected neoplastic lesions were included in the present study. The biopsies that were included in the study comprised of 6 (10%) esophageal biopsies, 12 (20 %) gastric biopsies, 3 (5%) from GEJ, 4 (6.66%) from duodenum, 2(3.33%) from pyloro-duodenum, 1 (1.66%) from jejunum, 2 (3.33%) from ileum, 14 (23.24%) from colon, 12 (20%) from rectum, 4 (15%) from anus. There are only few studies on histopathological spectrum on GI endoscopic biopsies in Jammu region. ASCOMS is a tertiary care hospital where patients come from all over Jammu region. Analysis of biopsied material therefore can provide a fairly good estimate of spectrum of various gastrointestinal lesions (neoplastic/non-neoplastic/pre-neoplastic) in Jammu region as well as comparison of our results with similar studies in other institutions.

Ankle fractures are the most common type of fractures treated by orthopedic surgeons in daily practice. Most of these fractures are complex type and difficult to manage. If not treated properly, may produce significant long-term disability and complications like pain, instability and early degenerative arthritis. Good functional results are obtained by surgical management of bimalleolar ankle fractures. Early weight bearing, and mobilization is achieved in these patients. This study was conducted at Prathima Institute of Medical Sciences, Karimnagar from January 2016 to December 2017. 40 adult patients with bimalleolar fractures of ankle who underwent open reduction and internal fixation were included in this study. Follow up was done at regular intervals of 6 weeks for minimum of 6 months. Baird and Jackson’s ankle scoring system of subjective, objective and radiographic criteria was used for the study. 24(60%) cases of medial malleolar fractures were fixed with malleolar screws, followed by cancellous screw in 4(10%) cases, tension band wiring in 10(25%) cases and K-wire in 2(5%) cases. 28(70%) cases of lateral malleolus were fixed with plate (24 with one-third tubular plate, 2 with 3.5mm DCP and 2 with 3.5mm recon plate) followed by malleolar screw in 4(10%) cases, Rush nail in 5(12.5%) cases and K wire/TBW in 3(7.5%) cases. Average time to union in our study was 10.4 weeks. However, most (80%) of the cases (80%) united by 8-12 weeks. Excellent results were achieved in 23(57.5%) cases, good results in 10(25%) cases, fair in 5(12.5%) cases and poor in 2(5%) cases. Open reduction and stable internal fixation of unstable bimalleolar ankle fractures restore the articular congruity of the ankle joint. Operative results in our study were satisfactory in 82.5% cases, with good to excellent functional outcome. Functional results were much better in younger age groups and men. Early weight bearing, and mobilization is achieved in these patients

Visceral Leishmaniasis is a vector-borne parasitic infection caused by a parasite of the genus Leishmania. This disease, which is more frequent between children than adults, knew during these last few years in Morocco a significant surge especially in the region of Fez. The direct examination, based on the detection of the parasite or its nucleic acid, is undoubtedly the key to a definite diagnosis, along with serological techniques that were proven to be efficient and could also aid the diagnosis. This study highlights the benefit of rK39 rapid tests in visceral Leishmaniasis diagnosis through the retrospective of 75 patients suspected to have Visceral Leishmaniasis. We shall also compare our results with those of other authors in different countries.

Many patients with gastrointestinal (GI) symptoms go through endoscopy often unnecessarily and without indication. Observational studies have generally shown poor adherence to international guidelines of endoscopy. This study aims to identify the common indications of GI endoscopy and the subsequent findings among the population of Al Kharj Province, KSA. We conducted a cross-sectional study on 516 patients who underwent upper or lower GI endoscopy at the Endoscopy Unit of King Khaled Hospital, Al Kharj, KSA in the period from March 2017 to March 2018. GI bleeding, dyspepsia and reflux symptoms were the most commonly reported causes for referral to endoscopy (26.8%, 19.6% and 10.7% respectively). Normal endoscopic findings were reported in 33% and 37% of the patients who underwent gastroscopy with dyspepsia and reflux symptoms, respectively). Only six patients (1.8%) of those who underwent colonoscopy had an indication of colorectal screening. Almost half of the patients 45 % (45/100) with dyspepsia 53% (27/55) unnecessary gastroscopy. High rates of unnecessary upper GI endoscopy are performed for inappropriate indication such as dyspepsia and reflux symptoms. Also, colorectal screening strategy has not been adopted by the physicians. We recommend the implementation of the recent international guidelines when referring patients to endoscopy to avoid the unnecessary invasive procedures.

Pseudomonas aeruginosa is a true opportunistic pathogen and is responsible for causing a variety of infections in clinical settings in both immunocompetent as well as immunocompromised hosts. However, in most cases, P.aeruginosa infections occur in patients who have been compromised in some way, e.g. chronic Diabetic Patients. Methods: In this study a total of 280 (10.98%) P.aeruginosa isolates were obtained out of 2549 samples collected for a period of 5 years. The isolates were selected on the basis of their growth characteristics on Blood agar, MacConkey agar and Nutrient agar medium. Colonies were subjected to series of biochemical tests to identify the species. Antimicrobial susceptibility testing of all the confirmed P.aeruginosa isolates was performed by automated walkaway 96 using NBC 42 and conventionally comparing with Kirby–Bauer disc diffusion method for further confirmation and results were interpreted according to CLSIs guidelines. Results: The prevalence of this pathogen was 10.98% and most of the isolates were mostly isolated from pus/wound swab cultures, followed by urine & sputum cultures, mostly isolated from critical areas such as ICU’s.