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 study objective was to establish financial challenges of nongovernmental organisations’ in promotion of quality education in Musoma District, Tanzania. Despite the efforts put by non-governmental organizations in promoting quality education in the country, there are several challenges that are encountered by NGOs which hinder their support in promoting quality education. The study adopted a descriptive survey design. The target population was 19 NGO Leaders, 111 Head Teachers, the DEO, 111VEOs and DCSQAO, totalling to 243. The NGO officials, DEOs, DCSQAs, and were purposively selected because they were few. A 30 percent simple random sample was used to get33 Head Teachers and 33 VEOs .Data was collected through questionnaires and interview schedules.To ensure face and content validity of the research instruments, 2 experts in the department of Educational Administration Planning and Economics of Kisii University were requested to scrutinize the research instruments so as to validate them. Reliability of the instruments was addressed through piloting in 5 schools and reliability coefficients were obtained by subjecting the instruments to a Split-half Technique and Spearman ―Brown Prophesy formula‖. The co-efficient of reliability obtained was 0.721 which indicated that the instruments were reliable.Data was analysed qualitatively and SPSS programme was used. The findings of the study reveal that the majority (87) 88.6 percent of all respondents said that training on financial matters in the schools was done quarterly. It was recommended that the government to work closely with NGOs to provide quality education. Informed consent of the respondents were ensured and confidentiality adhered to.

Hydroquinone (HQ) and clobetasol 17-propionate (17PC) are two medicinal agents commonly incorporated because of their skin bleaching properties into lightening cosmetics sold out in some sub-Saharan regions (Senegal, Togo, South Africa, Cameroon…). The aim of this study was to quantify these agents in lightening creams and body lotions marketed in Douala, the economic capital city of Cameroon. A preliminary investigation was carried out at the main cosmetics sales outlets (pharmacies, perfumeries and supermarkets) of the city, in order to come out the overall proportion of lightening cosmetics and to inventory the mainly bleaching agents listed as ingredients in these products. About forty lightening creams and body lotions were purchased and then analyzed in other to come out their respective hydroquinone and 17PC concentrations. The results have revealed a compliance rate of 79%, with 47.5% of the samples containing hydroquinone at a higher concentration than the one allowed in cosmetics (≤ 2%). Clobetasol 17-propionate, forbidden in cosmetics, has been identified in all the samples with 77.5% having a dosage above the 0.05% accepted medicinal creams, what may lead to systemic repercussions when used chronically.

The purpose of this study was study was to examine teachers’ attitude towards open performance appraisal on pupils’ academic achievement. A quantitative and qualitative research survey design was adopted. The target population involved all primary school teachers, school quality assurers’, Human Resource Officer and District Education Officer, totaling to 1213. Random sampling technique was used to obtain 328 teachers and 33 head teachers, that is, 30% of the population, while the District Education Officer and Human Resource Officer and School Quality Assurance officers were purposively selected because they are few and the only existing ones. This study used semi structured interviews, questionnaires and documentary analysis for data collection. Qualitative data obtained was analyzed descriptively while SPSS software version 23 was used to analyze quantitative data. To ensure face and content validity of research instruments, two experts in the department of Education Administration Planning and Economics of Kisii University scrutinized the research instruments and validated them. A pilot study was conducted for reliability reasons. Anonymity, confidentiality, privacy and informed consent of the respondents were ensured. Findings of this study revealed that 65.52% of head teachers believed that teacher attitudes influences pupils’ academic success while 34.48% disagreed. It was concluded that positive attitude was key to pupils’ success. The study recommended that teachers and head teachers should be involved in setting goals and objectives of the performance appraisal process, The study adhered to the ethical consideration accordingly.

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.

Globalization today is at a dangerous crossroads. Although many alleged it has provided enormous benefits, but the systemic risks and growing inequality it causes necessitate urgent action. The myth of a borderless world is crashing down. Traditional pillars of open markets; the United Kingdom and United States are wobbling. This is evident in the Brexit vote which stunned European Union and the world at large, couple with the recent policies of the American government towards its fellow western allies and immigrants. Many people are beginning to feel so troubled about our economic future. The failure to arrest these global developments is likely to lead to growing nationalist policies, protectionism and xenophobia, which the world is already witnessing. Globalization has created growth, no doubt. But what kind of growth? And for who? This crisis posed by globalization has forced many to question the motive behind this phenomenon. Could this be renewed imperialism? This paper adopts rational and analytic methods in exposing this argument.

The deleterious association of non-bone consolidation and septic complication is a therapeutic challenge for orthopedic surgeons. Tibial fractures are a source of high rates of nonunion and septic and cutaneous complications. Here we present the case of a 56-year-old patient with a history of vascular, cardiac and obstructive post-smoking bronchopneumopathy who presented septic pseudarthrosis of the left tibial pilon with cutaneous complications and whose treatment consisted of , initially in an induced membrane technique, associated with a cutaneous cover by a lateral fasciocutaneous flap of the thigh and an osteosynthesis by a Hexapodal external fixator type True Lock. During the second stage, the bone graft was removed by endomedullary boring of the contralateral femur using the device named Reamer-Irrigator-Aspirator, and the stems of the external fixator were replaced by other rods allowing adjustment multiplicane and thus a gradual three-dimensional reduction as the consolidation progresses.

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.

Cefotaxime is a 3rd Generation Cephalosporin and mainly acts by binding to penicillin-binding proteins and inhibits final transpeptidation step of peptidoglycan synthesis, resulting in cell-wall death; resists degradation by beta-lactamase; proper dosing and appropriate route of administration are determined by condition of patient, severity of infection, and susceptibility of microorganism. Indicated in the various conditions like Gonococcal Urethritis/Cervicitis, Gonorrhea, Rectal, Infections Caused by Susceptible Organisms, Prophylaxis of surgical infection. A child of 5 years old of male patient came to pediatrics department with chief complaints of seizures and admitted in pediatrics department-II and his treatment chart was phenytoin 100mg PO BD and valproic acid 200mg – 200 mg – 300 mg Po OD. During his second of treatment child developed fever of 1020F and to reduce the condition physician prescribed cefotaxime 500mg BD IV on 4th day of treatment child developed macular rash all over the body. Better vigilance is necessary for implementation of safe and effective treatment for each individual patient.in order to prevent serious adverse drug reactions of this drug,close monitoring drug treatment course, creating awareness, recognition of the problem and careful management of all the patients who receive medication are essential, because use of cefotaxime causes Colitis, Diarrhea, Elevated blood urea nitrogen (BUN) and creatinine, Elevated hepatic transaminases, Eosinophilia, Fever, Injection site pain, Nausea, Pruritis, Rash, Thrombocytopenia, Transient neutropenia, Vomiting.

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.

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 .

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.

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.

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.

With an objective to develop some potent, novel and less side effect having antitubercular agents here we have synthesized a series of substituted/ unsubstituted 2-phenyl tetrahydroquinoline derivatives (IIa-g). These were obtained by the reaction between substituted 2-phenyl-1, 2, 3, 4- tetrahydroquinoline and sulphur in acetonitrile. Structure of the newly synthesized compounds were confirmed on the basis of physico-chemical and spectral data (IR, 1H NMR, 13C NMR and Mass). All the synthesized compounds were screened for their antitubercular activity using Microplate Alamar Blue Assay (MABA) method. Among the synthesized compounds II b, II e and II g have shown significant antitubercular activity.