Primary actinomycotic infection is a rare finding in breast with very few cases been reported in male breast and it is seen to be associated with trauma to skin or any predisposing conditions like diabetes mellitus. We are reporting an unusual rare case of actinomycosis of breast in a 70 year old male patient who came with the complaints of swelling in the right breast since seven years along with pain and bloody discharge from nipple since five to six months. Clinically breast malignancy was suspected and lumpectomy was done. Histopathological study showed features of actinomycosis.

The purpose of this study was to determine the effect of brand image variables, relatioship marketing and product quality on customer satisfaction and loyalty. This type of research is descriptive research. This study used a sample of 200 respondents. The analytical method used is path analysis with SPSS 20. The results of data analysis show that brand image and relationship marketing have a significant influence on customer satisfaction and loyalty, while for product quality has no influence both of customer satisfaction and loyalty. The results of the joint test of brand image, relationship marketing and product quality variables simultaneously have a significant effect on satisfaction and loyalty. Customer satisfaction has an influence with customer loyalty.

In Morocco, the number of people aged 60 and over has increased. This draws attention to conditions whose prevalence increases with age including chronic kidney failure and dementia. This population appears to have a higher risk of cognitive impairment. The aim of our study is to determine the prevalence of cognitive disorders in our dialyzed patients, to define the types of this decline and identify the factors associated with cognitive decline. Observational, cross-sectional study of 116 patients taking hemodialysis from El Ghassani hemodialysis center in Fez. We used the Montreal cognitive assessement test before the hemodialysis session, A Moca ≤ 24/30 indicate the presence of cognitive impairment. The Moca was abnormal in 70% of our patients. The average score was lower for women. The areas most affected were attention and short-term memory. We found a strong correlation between the decrease in the Moca score and the progression in age (p <0.001). Hypertension was correlated with a Moca score with an average score in the hypertensive population of 20 ± 5.4 (p <0.006). The relationship between cardiac disease and Moca was significant with an average score in patients with heart disease of 19 (p <0.01). Taking an erythropoiesisstimulating agents were linked to the Moca test (p <0.05). The number of sessions per week was significantly correlated with Moca (r: 0.25, p <0.005). Albumin and hemoglobinemia were correlated with the Moca score (r: 0.2, p <0.027) and (r: 0.2, p <0.02) respectively.

Abstract: The aim of this investigation is to characterize the Phyllanthus muellerianus plant dye used as a colour source in painting walls and craft works for ages in Oghe, Ezeagu Local Government Area of Enugu State. Spectroscopic (UV-Vis, FT-IR and 1H NMR) techniques were employed to characterize P. muellerianus dye. UV-Vis absorption spectrum shows peaks at 313 nm and 482 nm being attributes of anthocyanine. According to FT-IR and 1H NMR investigations the tested sample have cyaniding glycoside and peonidin glycoside.

Dengue is a viral infection that affects millions of lives each year. A rapid screening test that would detect the NS1 antigen, IgM and IgG antibodies to recombinant antigens of all the dengue viruses helps in early detection of a potentially fatal disease. SD Bioline Duo, with the lateral flow technique, was employed in 24 cases of suspected dengue fever over a one-month period in a tertiary care hospital, with 14 cases (58.33%) testing positive. It helped in timely management of the cases and prevention of further complications of the viral disease.

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.

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.

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.

Abstract: This study examined the prediction of self-efficacy and self-esteem on exercise identity of the post graduate students of university of Ibadan, Oyo state. The population comprised all post graduate students of university of Ibadan. Six faculties were sampled using fishbowl with replacement sapling techniques, and a total of 300 respondents were randomly selected to participate in the study. The socio-demographic characteristic of the respondents showed that 62(20.7%) were within the range of 20-24 years, 157(52.3%)were within 25-29 years, 54(18.0%) were within 30-34 years, 20(6.7%)were within 35-39, years and 7(0.3%) were within 40 and above .237(79%) were singles, 62(20.7%) were married and 1(0.3%) was divorced. 248(82%) were Christians, 48(16%) were Muslims and 4(1.3%) were traditional. 119(39.7%) stayed in school halls while 181(60.3%) stayed outside campus. A standardized questionnaire of self efficacy and a modified standardized questionnaire of self esteem were used to generate data. Descriptive statistic of frequency counts , percentages, mean, standard deviation were used to analyzed demographics data while inferential statistics of Pearson Product Moment Correlation and multiple regression were used to test the formulated hypotheses at a =0.05 alpha level. Three research hypotheses were raised to guide the study, the result indicated that the attitude and exercise behavior of the post graduate students of university of Ibadan determines their exercise identity, but poor self-efficacy and self esteem contributed to the low status of exercise identity of many post-graduate students of university of Ibadan. The findings revealed that self-efficacy has a positive prediction on exercise identity of the postgraduate students of university of Ibadan(r=0.511, p< 0.05), self-esteem has effective impact on achievement of exercise identity of the post-graduate students of university of Ibadan (r=0.318, p<0.05). It is therefore recommended that; workshop and

The Namesake is the debut novel which was written by the Indian American writer, Jhumpa Lahiri. In this novel, Lahiri depicts the lives of two generations of Indian immigrants in America and their own problems. It differs from other immigrant novels in the way that Lahiri does not arrange rise and fall of experiences for her characters. She just uses the simplest words to describe the heroes’ daily life. Under the multicultural background, Lahiri lays a lot of emphasis on the struggles and sufferings of the cultural identity of Indian American. This thesis aims at the analysis of the different identity confusions between the first generation immigrants and the second generation immigrants in terms of their names, love experiences and marriages. This paper attempts to conclude that the cultural differences have a great influence on the fate of characters. Meanwhile, it points out different attitudes and solutions toward the problems.

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.

With the implementation of the new curriculum reform and the wide application of teaching technologies in China, the teaching model of the non-English major students’ English as foreign language teaching has also undergone great changes. Constructivism emphasizes student-centered, autonomous and cooperative learning, which offers a solid theoretical foundation for the autonomous learning in the non-English major students’ teaching process. Therefore, based on the constructivism theory, the article attempts to explore strategies to cultivate the autonomous learning ability of non-English major students. With the application of teaching strategy of cooperative learning, situational teaching and task-driven teaching, the students can more actively participate in the classroom activities and their learning enthusiasm can be stimulated.

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.