The aim of this brief paper is to provide a case study of reflection on a teaching critical incident within higher education. The case study is based on personal experience providing personal insights and feelings, and an action planning for further development in future similar scenario. Teachers in higher education may face different challenges during their teaching experience; this would worth reflecting upon to further understand the nature of the challenge as well as the associated aspects with it and enables opportunities of sharing experience and best practices with other academics, faculties, institutions and professionals internally and externally.

Over the past two decades in Qatar, designers and planners focused on design merits of high-rise buildings and the impact on the skyline and the city image, discarding the integration of the buildings with the ground level. This research study investigates the sustainability and livability of the public realm within high-rise districts, focusing on the business district of West Bay, Doha, State of Qatar, as a case study. In West Bay, tall buildings have security gates and parking spaces on the ground level that weaken the livability and vitality of the street. Therefore, to enhance livability, the built environment should provide a vibrant social urban ground level. Insufficient parking spaces along with the lack of public transportation choices frustrate people and intensify the traffic congestion in West Bay. The lack of services and amenities within the residential towers accompanied with poor pedestrian circulation make it hard to perform everyday activities. The spatial segregation in West Bay translates into a distinct functional spatialisation. Also, most buildings in West Bay are single-use occupancy, with clusters of retail, services and catering activities, their spatialisation does not provide for an overlap of movement between the working occupants and the recreational ones. The research study aims to study the relationship between built environment and livability on the street level of the existing spatial environments on the micro urban scale of West Bay. Therefore, this research project aims to fill the gap in the literature regarding design-based research that provides solutions to existing limitations in the physical environment. The strategy includes a summary of the literature, site analyses and resultant design vision for a sustainable livable development concept for the study area, the business district of West Bay

The study investigated the extent of fulfillment of employment responsibilities between the management and employees of PHCN, areas of employment responsibilities, with a view to ascertaining how this influenced the job performance of employees of PHCN, Ibadan Zone. The descriptive survey design was used for the study. A total of 40 management staff and 240 employees were selected using simple random sampling technique. Data for the study were collected using two instruments namely “Employment Responsibilities Inventory” (ERI), and Employees’ Job Performance Scale” (EJPS). The reliability of the instruments was confirmed with the Cronbach Alpha and Split-half results yielded ERI = 0.82 and 0.76 and EJPS = 0.88 and 0.83 respectively. The data collected were analysed using simple percentage, mean, standard deviation and t-test statistical analysis. The results showed that provision of safe working environment (X=3,12, S.D = 0.69) and pay increase to maintain standards of living (X=2.99, S.D. = 0.77) were the major responsibilities required by the employees from their management. It was showed that 61.3% of the employees reported that their management rarely discharged their employment responsibilities to the workers. Also, it was revealed that there was a significant effect of employment responsibilities on employees’ job performance (t-test = 128.9, p < 0.05). It thus concluded that poor fulfillment of employment responsibilities has greatly affected the productivity of employees of PHCN, Ibadan Zone.

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.

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.

The key issues of implementing internet marketing are revealed. Specified for one of the varieties of online marketing– conversion marketing. The general principles for determining the model of Internet marketing conversion are revealed. The basis of formalization of the general model of Internet marketing is offered. The main tasks of the solution of key tasks of the conversion Internet marketing are outlined.

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

The Kenyan government is currently supporting the start-up as well as the growth of youth enterprises, in line with the Medium Term Plan of Vision 2030, by creating a conducive environment and support programmes in order to develop the sector. Despite these efforts, the performance of youth enterprises in Kenya has been miserable. The breadth to which this huge amount of money has influenced the growth and profit margins of these many youth enterprises remains unexplored. Furthermore, there is a lack of enough literature as far as the effect of youth enterprise development fund on the growth of MSEs. This research, therefore, sought to establish the effect of Youth Enterprise Development Fund services on the growth of MSEs in Nyando Constituency. The objectives that guided this study include: to determine the effect of YEDF lending financing services on growth of youth MSEs in Nyando Constituency; to determine the effect of YEDF linkage services with large enterprises on growth of youth MSEs in Nyando Constituency; to establish the effect of YEDF marketing services on growth of youth MSEs locally and internationally in Nyando Constituency and to determine the extent to which YEDF provides Business Development Services to Youth MSEs in Nyando Constituency. A descriptive survey research design was employed.

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.

Research active status of Library and Information Science (LIS) in India has been studied using publications indexed in the Scopus database. ―Library and Information Science‖ as a search term in the All field tag fetched 387 records and the period of coverage from 2008 to 2016. The downloaded data were analyzed using MS Excel and VOS Viewer software applications. The analysis revealed that there are 160 authors from among 35 countries; 112 journals; 7 types of documents; 160 institutions; 1931 times cited by local and global references. 65.37% of publications are scholarly articles. The highest productive year is 2015 (Citation -183) and lowest is 2008 and 2009 (Citation-106 and 185). Of the 35 countries, India stands first, United State and Canada in the second and third places respectively. ―Annals of Library and Information Studies‖, ―DESIDOC Journal of Library and Information Technology‖, ―Library Philosophy and Practice‖ are the most productive journals involved in this study. Among the 160 authors, ―Mukherjee, B.‖ has earned the highest h- index value. ―University of Delhi‖ dominates other institutions in terms of a number of records.

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

A cross-sectional comparative study was conducted at Rajiv Gandhi Medical College, Kalwa, Thane, in Maharashtra state, India on 61 first-year MBBS students to compare the scores obtained by students in Objective Structured Practical Examination (OSPE) with that obtained in Traditional Practical Examination (TPE). In the TPE, each student performed red blood cell count, which was followed by viva-voce on the same procedure and marks out of 30 were assigned by the examiners. Students were oriented regarding OSPE and the marking system. At the “procedure station” of the OSPE (maximum marks = 20), the examiners were provided with a pre-validated checklist containing 10 steps for performing red blood cell count within an allotted time of 10 minutes. Two marks were given for correct performance of each step mentioned in the checklist. At the “question station” (maximum marks = 10), students had to write answers to 10 short-answer type questions carrying one mark each. The total marks obtainable during OSPE were out of 30. The mean OSPE score was 23 +/- 2.41 (95% CI: 22.40 – 23.60) while that for TPE was 17 +/- 3.58 (95% CI: 16.10 – 17.90). The difference in the mean OSPE and TPE scores was highly significant (Z=10.859; p<0.00001). The gender difference in TPE scores was statistically significant (p=0.017) but that in mean OSPE scores was not significant. Although the stations where most students committed identical mistakes were noted and feedback regarding their performance was given, extra training may be required for few students with lower scores. Periodically conducted faculty development programmes would assist in creating a pre-validated OSPE question bank.

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.

This is a theoretical paper with a charge to examine the scope and character of gender equality in the education systems of Uganda, Rwanda and South Sudan through a review of cross-national literature using feminist lens to interpret their connotations. While Uganda and South Sudan have invariably sought to enact affirmative action geared at achieving increased access for girl children, Rwanda has by and large focused on shifting from affirmative action to more holistic genderresponsive strategies in its crusade. This, perhaps, is the most convincing notion of salience among the three East African countries; confirming that formal opportunities for equal treatment of girl children ensure neither a shared starting point nor equal outcomes because of different cross-national milieus of change. In Uganda, the flagship of government initiative is the 1997 UPE which has since its launch spurred a big rise in the number of school girls across the country. The extension of the free education policy to 12 years represents Rwanda‟s best bid to attain gender equality; while the Go to School Initiative is South Sudan‟s rarest case of success in promoting access and participation but remains largely embryonic and sporadic. Cultural thinking, economic insecurity and social disadvantage immensely affect the way poor and rural households decide about investing in their girl children‟s education. There is need, therefore, to emphasize the intrinsic developmental value of education over and above the compulsion for productivity and employability. It is audaciously mistaken to establish that gender inequality could be altered by education or within the education system without restructuring sexual division of labour in the home and the market at large. To achieve gender equality in their education systems, Uganda, Rwanda and South Sudan must decode the cultural capital of their social classes and use that knowledge to empower women and girl children at the family and community levels while schools offer prospect. If these initiatives could be further institutionalised, resourced, and embedded in durable policy visions, it is possible for schools to become standard for broader societal transformation.

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