The Aims and objectives of the study are toprovide a standard for good laboratory practice, to increase the clinical effectiveness, patient safety and operational efficiency and designing better and more evidence-based systems for the timely notification of laboratory results which represent potentially hazardous to the patient.This concept was introduced 46 years ago by Lundberg. It is a result, indicating that patient is in imminent danger unless therapy is initiated immediately. A prospective cross-sectional study was done at ASRAMS, a 1000 bedded hospital at Eluru, from July 2017 to June 2018 for a period of 12 months. The laboratory performed 2,22,574 tests in haematology and 2,92,055 tests in clinical pathology. The preparation and approval of critical alert value list was done in consultation with our hospital board and clinician’s panel. During a one year period of study, a total of 7148 critical values were reported. 45.32% of critical alert values belong to inpatient, 48.9% to outpatient and 5.8% to emergency department.We finally Conclude that it is crucial for patient safety, Effective use of the available resources, Creates professional responsibility and Regular quality assurance, meeting with technical staff and strict vigilance are key reasons for low figures in our setting.

Higher education in Africa is under-developed and has been a low priority for the past two decades. Access to higher education for the relevant age group remains at 5%, the lowest regional average in the world, just one-fifth of the global average of about 25%. Women are underrepresented in higher education, in particular in the science and technology fields. In regards to quality, not a single Western and Central African university features in the rankings of the world’s best 500 academic institutions. These challenges can be attributed to a multiplicity of factors. According to this paper funding the funding is at the centre of all these challenges.

Computer keyboards can contribute to the spread of microorganisms, mainly when shared by multiple users. Evaluate bacterial and fungal contamination in shared computers keyboards used in a University and propose preventing measures. This research has an investigative, descriptive and transversal design. Keyboards from 60 computers of collective use were randomly selected. Surface samples were collected with sterile swabs and moistened in 0.9% NaCl solution. The swabs were rubbed against the surface of the keyboards and then stored in Stuart's transport medium and sent to the Bacteriology Research Laboratory of the Souza Marques Medicine School. The material was seeded in the culture medias blood agar, hypertonic-mannitol-agar, Sabouraud-dextrose-agar and Micosel. Bacterial colonies were identified through morphotinorial characters, biological and biochemical tests. Yeasturiform fungi were identified by biochemical tests and the filamentous fungi through morphotinorial and cultural characters. From the 60 examined samples, 10 different bacteria species were isolated: Bacillusspp 18 (30%), Enterococcusspp 5 (8.33%), Streptococcus alfahaemolyticus 8 (13.33%), Escherichia coli 4 (67%), Klebsiellaspp 2 (3.33%), Enterobacterspp 6 (10%), Proteusspp 1 (1.67%), Neisseria spp 3 (4%), Staphylococcus aureus 5 (8.33%), Coagulase negative Staphylococcus 32 (53.3%). Isolated fungi: Candida albicans 3 (5%), Penicilliumspp 15 (25%), Aspergillusniger 8 (13,33%), Aspergillusfumigatus 2 (3,33%), Alternariaspp 4 (6,67%), Epidermophytonfloccosum 2 (3.33%), Fusariumspp 7 (11.67%), Rhodotorulaspp 10 (16.67%). The keyboards of the shared computers were contaminated with fungal and bacterial elements, and among them E.coli, evidence of faecal contamination. This contamination occurs due to the high turnover of users with different hygiene habits. Thus, a hygiene protocol is required to minimize contamination of computer’s keyboards.

The importance of postsecondary education has increased significantly in the last decade. A high school diploma is no longer sufficient in the 21st century. In order to be successful in today’s global economy a person must receive some form of postsecondary education. The economic stability of the state is tied to citizens who are employed and productive. In a constrained fiscal environment, policymakers also will need to consider whether there are better means of achieving shared goals, including student access and support for research. Such approaches could entail more coordination, other funding mechanisms, or policy reforms. In addition, it will be necessary to think about the implications of parity and whether funding strategies will require changes in order to reach desired outcomes. This paper is intended to provide a starting point for illustrating the various methods of funding higher education for improved performance of institutions.

It has been discerning that in approximately 2% of the population one or both the maxillary lateral incisors are congenitally missing. To achieve an optimal aesthetic for missing lateral incisor has been very challenging for a clinician. It is often necessary to establish a harmonious, interdisciplinary approach. There are various treatment options for replacing the missing maxillary lateral incisor, including canine substitution, three unit fixed partial denture or single-tooth dental implant. Dental implants are an appropriate treatment option for replacing missing maxillary lateral incisor teeth in adolescents when their dental and skeletal development is complete. In the present case report, the dental implant with angled abutment was planned as a definitive treatment option for a patient with congenitally missing maxillary lateral incisors.

Currently there is an obstacle in terms of internet access connectivity that occurs in Indonesia, especially for users of sea transportation. Very often we find a situation where when a passenger of a ship is in the middle of a trip, the connectivity of internet access cannot be used when in the middle of the sea. In fact, with the existence of the Sea Toll Program by the Government of Indonesia which was launched in 2015 which has an impact on the addition of the total ships prepared, the number of passengers is increasing year by year due to the opening of access via these ships to the destination island. By looking at this phenomenon, PT. Telekomunikasi Indonesia together with PT. Pelni Indonesia cooperates as a form of synergy between SOEs. The collaboration is to provide telecommunications networks and internet access in all ferry vessels owned by PT. Pelni Indonesia and use retail sales system for Coconnet product vouchers in retail to all passengers of a ship. n the beginning of 2017, Telkom Group launched a new product called Coconnet (Connectivity Of Internet), a product that is a Prepaid Internet Voucher that can be used to meet the need for communication and internet networks for passengers and crew when they are in the middle of the sea . The presence of these products is a solution for passengers and crew when experiencing difficulties and obstacles in communicating on board because there is no communication network in the middle of the sea. Therefore, to maximize the new product launched by Telkom, namely Coconnet, it is very important for telecommunication companies to have a marketing strategy so that they can predict which telecommunication products can be used and estimate the extent of the success of the Coconnet products that have been issued. With a good strategy supported by the tools used to measure product success, the industry and companies can focus on improving the right factors for products that have been produced so that they can produce the right products to answer customer needs and can continue to maintain success in the Indonesian telecommunications market.

This study sought to establish the influence of principal‟s leadership styles on teachers‟ professional commitment in Kericho Sub-county, Kenya. Specifically the study was to establish the influence of Principals‟ Autocratic Leadership style on Teachers‟ Professional Commitment in public secondary schools in Kericho Subcounty. This research was informed by the situational leadership theory and descriptive research design was adopted to guide the study. The sub-county has 31 public secondary schools. In the 31 schools there are a total of 31 principals, 155 Heads of Departments and 400 Teachers. All the 31 principals were selected to participate in the study because the sub county has recorded a decline in KCSE performance in the last two years. Five (5) HODS‟ in charge of academics from each school were purposively selected because of their special complementary roles in the leadership and management of schools. Simple random sampling was used to select five subject teachers in each school, one from each academic department to participate in the study; also 3 sub county quality assurance and standards officers‟ were selected. Therefore a total of 344 respondents comprising of 31 principals, 155 HOD‟s, 155 subject teachers and 3 SCQASOs constituted the total sample size. Data was collected using questionnaires which were administered to principals, HODs and subject teachers while interview schedules were used to guide discussions with the SCQASOs. Validity of the instrument was determined by the supervisors, lecturers in the department of Education Kisii University. For reliability, a test re-test of the findings was calculated and a Pearson‟s correlation coefficient of 0.856 was obtained. Data was analyzed using descriptive statistics with aid of Statistical Packages for Social Sciences (SPSS) computer program while the results from interviews were analyzed qualitatively and thematically. Results presented in Table 3 reveal that over half, 16 (58.8%) of the Principals were of the opinion that they do not use autocratic leadership style. However a significant proportion, 11 (41.2%) indicated that they used it. Results further show that three quarters of the HODs, 104 (76.5%) were also of the opinion that autocratic leadership was not being used, and only one quarter, 32 (23.5%) thought that autocratic leadership is used.The study recommended that principals should be in serviced on modern leadership styles such as situational and transformative. The researcher paid keen attention to research ethical issues and got the informed consent of the respondents and guarded against plagiarism and ensured confidentiality.

The purpose of the study was to examine the effect of globalization on the monetary policies in enhancing small and medium enterprises in Nigeria; the specific objectives include to; examine the effect of globalization on the inflation rates in enhancing SMEs and examine the effect of globalization on the exchange rate in enhancing SMEs. The study had a population of 257 employees drawn from among selected manufacturing firms in Enugu State. The sample size of 117 was drawn using Freud and Williams formula at 5 percent error margin. A survey design was adopted for the study. The instrument used for data collection was the questionnaire. A total of 117 copies of the questionnaire were distributed while 112 were returned. Two hypotheses were tested using regression, and with the aid of the Statistical Package for Social Science (SPSS).The findings indicate that Globalization has negative effect on the inflation rates in enhancing small and Medium Enterprises hence negative in its absence t(95, n = 117) =-1.685, p <0.05, enhancing Small and Medium Enterprises is negative in the absence of globalization t(95, n = 117) = -0.813,, p < 0.05. The study concludes that Globalization affects how governments throughout the world create policies affecting areas such as financial regulation and trade. The study recommended that the Nigerian government, as well as the government of other developing economies, must invest substantially to the growth, development, and sustainability of SMEs through the provision of essential infrastructures, human resources, microfinance, security and adequate policy framework.

The acceptability and utilization of a newly introduced Cassava (Manihot Esculenta) in Marigat, Baringo County, necessitated this study. This paper is drawn from a study that was conducted on Marigat to establish the level of utilization of the cassava roots. A total of 51 introduced cassava varieties were grown and all harvested at 16 months by KARI-Marigat. The study recommends that there should be greater efforts to promote cassava breeding for better food, nutrition and livelihoods that will enable people to live productive lives since cassava is staple in the diet of 90% of respondents in the study area. Deliberate efforts are necessary for leveraging agricultural research towards improved production of cassava roots with better culinary, nutritional and keeping qualities. This may enable communities in vulnerable areas such as Marigat to benefit from improved cassava varieties towards attaining Kenya’s Vision 2030’s for sustainable livelihoods and development.

This present paper is devoted to the analysis of modal auxiliaries in Martin Luther King’s speech (I have a dream). This speech was delivered at the march on Washington for jobs and freedom. In this speech King has used modality through modal auxiliaries and there is a wide range of meanings that these words are used to express. The phrase “modal auxiliary” shows that there are two linguistic forms which are under question: the syntactic notion of “auxiliary” and the semantic notion of “modality” Thus, not all modal auxiliaries have been analyzed in this present study; but some of them such as Will, Shall, Must and Can in their predicative and inter-subjective relationships.

Non-dairy imitation cheese products are manufactured from vegetables fat and protein; and preparing by using the technique of processed cheese with helping of heat, emulsifying salts. Oats, wheat germ and cereals are main sources of dietary fiber in human daily diets which have beneficial effects in the protection of civilizationrelated diseases such as e.g. hypercholesterolemia, diabetes, or heart disease. In this study, imitation cheese products were manufactured by two ways; first from mixture of modified potato starch and palm oil only. Second, the manufacturing was done by using starch, palm oil and oats or wheat germ. In first treatments, the obtained results indicated that, increasing of modified starch in the blend of manufacturing presented imitation cheese with good chemical, microbiological, texture and sensory properties. So, the producing of non-dairy imitation cheese by modified potato starch and palm oil gave acceptable like-cheese product with good flavor and texture. The fortification non-dairy imitation cheese with oats in the blend gave very good cheese-like products with high flavor, texture and nutritional benefits than using wheat germ. So, it can be nominated these imitating products for commercial production to serve different categories of consumers.

This paper is aimed at analyzing the female names among the Tugen community a Kalenjin sub-tribe in Baringo County, Kenya, East Africa. While proper names are given to people, geographical features, places and some settlements, I will restrict this paper discussion to the names applied to females only. I have divided this paper into the following main sections; a brief description of Tugen sub-tribe, Naming customs, the traditional naming ceremonies, female names and their meaning, elements of Tugen female names and conclusion. This study was based and guided by Semiotic theory. To help deal with the topic, the following questions were asked; Who are the Tugen-Sub tribe? What were the traditions which accompanied naming? What dictated their names? Which female name categories existed? What were the meanings of female names? What were the elements which formed female names? The answers to the questions were the basis of this paper.

In an attempt to increase the shelf life of banana for some days prior to processing and also enhance the nutritional quality of banana, two banana cultivars (Musa acuminata and Musa sapientus) were stored using three different storage media (banana leaves, fabric cloths and a clay pot). banana bunches were cut into fingers and differently wrapped in each storage medium and stored at ambient condition of 28±2°C and 79±3% relative humidity, while unwrapped bunches were placed on the laboratory shelf as control. Samples were analyzed for sugar, starch, moisture, ash, brix, pH, TTA, vitamin C and minerals on day 0, 5, 7 and 10. Sugar content of banana ranged from 4.55 to 17.83%, with the highest value observed in sample stored in clay pot. The moisture content ranged from 59.13 to 78.51%, ash ranged from 1.24 to 1.72% and brix ranged from 3.38 to 14.59 degree brix. Significant increase was observed in pH, TTA, vitamin C, potassium, phosphorus, iron and zinc during storage while starch decreased as storage period progressed. Samples stored in the clay pot retained qualitative properties more than those stored on shelf at ambient condition.

Contrastive analysis (CA) is a sub-discipline of linguistics dealt with comparison of two or more languages; it permits to detect the similarities and differences between them. This study aimed at contrasting the order of attributive adjectives in English, an Indo-European language and Sereer Siin, a Negro African language spoken in Senegal in the area of Fatick. The study involved 25 male students who were Sereer speakers and learners of English as a second language at the English department of Cheikh Anta Diop University. A test of 112 items in both languages was given to them. It was composed of 56 in English and 56 in Sereer. These students were asked to order correctly in a sentence two attributive adjectives in each language. However, the results revealed that in both languages there were more differences than similarities. However, the identical features of both languages are the fact that : adjectives of size precede adjectives of shape and of age, adjectives of color are placed before adjectives of Origin/nationality and of purpose; and adjectives of material are positioned before adjectives of purpose. There is an exception with ŋas which is the only adjective of age that should be placed after adjectives of size. Thus, this paper will enable to promote and develop the Sereer language and culture around the world. It will definitely be an invaluable resource for English speakers who are interested in the functioning of the order of attributive adjectives in Sereer Siin.

It is required to better understand the communication of emotion between the child and the parent. The factors underlying a parent's vulnerability to emotional problems have received relatively little attention from researchers. The empirical studies that have published suggest that the key determinants of a child's hospitalization relate to how the parents apprise the hospital stressors that confront them and how she or he evaluates the resources available to help to cope with the situation. To assess the level of stress among the parents of under five children who were admitted in selected hospitals at Gwalior (M.P.). To find out the association of level of stress among the parents of under five children who were admitted in selected hospitals with selected demographic variables. The study involved single group test without a control, using non-experimental descriptive design, with non-probability purposive sampling. 60 women were involved in data collection by using a structured questionnaire. The results were described using descriptive and inferential statistics. The overall knowledge score was found to be Majority of the parents (61%) had severe stress, 31% parents had moderate stress and only 7% of parents had mild stress. It reveals that the majority of the parents had severe stress. In relation to the stress score of parents mean, SD and mean percentage was in general aspects was 14.7, 3.23 and 73.5 and hospitalization was mean, SD and mean percentage was 11.12, 2.54 and 79.4 but regarding Treatment and Prognosis was mean, SD and mean percentage was 9.21, 2.24 and 73.4.In relation to the stress score of parents mean, SD and mean percentage was in Complication related to disease condition was mean, SD and mean percentage was 10.27, 2.93 and 73.4. Findings reveal that there is a significant association between the levels of stress when compared with parents Age, occupation, educational level, housing type, residence and age as well as birth order of the children. The overall findings of the study clearly showed that there is severe stress with the parents of a hospitalized under five children.