Preservation of the aesthetical aspects of the traditional buildings especially the traditional Malay house is relatively unsolved due to the limitation of the material used specifically the timber. The traditional Malay house system is basically a modular system in terms of measurement, panel dismantle-reassemble method, expandable and moveable as well. Modular system allows many advantages in construction process and final production. Some of the lists are cost-effectiveness in terms of time consuming in site, labour, product materials and many more. The quality of modular system also can be monitored wisely as it is develop in factory in mass production according to the design. This paper proposes the adaptation of modular system in modern housing that integrated with the traditional Malay house component specifically the non-structural component such as the wall system. The issues of modular using the traditional components will be analysed using observation and site visit and analysis. The system generated can be applied to the housing development in Malaysia and in the meantime preserving the aesthetic elements of the traditional Malay house. The outcome of this paper will acknowledge a concept of modular housing system adapting the traditional wall element in building environment, and appreciating the aesthetic value of the traditional Malay house as well.

The purpose of this study was to assess the relevance of vernacular radio stations’ agricultural programs in influencing utilization of agricultural information among farmers in Molo Sub County, Nakuru Kenya. Agricultural sector provides a livelihood for about 80% of Kenya‘s population and employs more than 70% of the rural population hence it remains valuable for the provision of food and employment opportunities. Vernacular radio stations, as part of mass communication, has a wider audience in rural areas compared to other forms of media outlets. Therefore, they have led to the passing of novel information on agriculture to farmers in Molo Sub County, Nakuru Kenya. This study adopted a cross-sectional survey research design whereby 8,445 households in Molo sub-county were targeted. Cluster sampling method was used to determine the number of participants that was selected through systematic sampling. The target population was 155 respondents in Molo Sub County Nakuru Kenya and the response rate was 94.9%. A Questionnaire was used to collect data and pilot testing was done in Subukia Sub County Nakuru, Kenya. Descriptive statistics showed that 83.9% of the respondents listen to the agricultural program while 16.1% disagreed to listening to agricultural activity. The study established that there exists a statistically significant relationship between demographic characteristics, relevance of agricultural programs, institutional factors and utilization of agricultural information (r= 0.644; p<0.05, r= 0.503; p<0.05, r= 0.463; p<0.05) respectively. The study concluded that demographic characteristics had a very high influence in the utilization of agricultural information among farmers in Molo Sub County, Nakuru Kenya. This deduced that radio agricultural programs are useful to farmers in Kenya and have greatly influenced their farming practices. The study recommended that there is a need for more effort in providing agricultural information programmes to farmers.

This paper introduces the application of fuzzy control in system modeling and utilizes the Linear Graph of mechanism modeling method to build the system model, and employs Simulink’s S-function to build the system controller and object to conduct simulation. In this paper, the double-ended component system is taken as an example to describe the linear graph theory commonly used in modeling, and the state space equation and the transfer function of the system are established and simulated based on the linear graph method. In the meantime, this paper also analyzes the merits and demerits of linear graph method and other mechanism modeling methods.

Toxoplasmosis has been described as the most widespread zoonotic disease of humans and other animals. Although Toxoplasma gondii infection in high school girls has been investigated in many countries, surveys have not been available in high school girls in Yemen. This study was performed to investigate the seroprevalence and risk factors associated with T. gondii infection among high school girls in Ibb city, Yemen. The study was carried out during the period February to December 2016. The sera from 220 volunteer girls were evaluated for T. gondii antibodies (IgM and IgG) using ELISA method. The seropositive rate of T. gondii was 18.2%, and 81.8% of high school girls was seronegative in anti-Toxoplasma IgG, while all cases (100%) were seronegative for IgM. Among the risk factors evaluated, only the presence of cats in home (p = 0.004) was observed as a significant risk factor associated with T. gondii infection. The results of this study may be useful for the design of optimal preventive measures against infection with T. gondii.

In this modern era, people living in scientific world. They enjoy their life through modern scientific inventions. On the other hand, we can’t ignore the dark side like everybody becomes victim of depression, in which poverty is one of the major causes of depression. Depression may lead to psychiatric disorders among people. This was an observational cross sectional study and data was collected from the rural area. Women are diagnosed with depression more frequently than men. The finding of the result revel that poverty lead to depression which affect the mental level. The government of Pakistan should be provided more and more opportunities for the job so that to bycot the poverty.

Traumatic carpo-metacarpal dislocations without associated fracture are rare lesions. Untreated, these lesions can lead to joint instability and early joint degeneration. We report 2 cases of dorsal carpo-metacarpal dislocation of the fifth metacarpal in 2 male patients. The age was 28 years and 39 years. On clinical examination both patients had edema and deformity of the dorsal surface of the right hand. The X-ray showed a dorsal carpo-metacarpal dislocation, pure, complete in both patients. The dislocation was successfully treated by closed reduction maintained with two K-wires. Immobilization of the joint was applied for 6 weeks. At 10 months' follow-up evaluation, the 2 patients showed no pain and had had regained their previous level of activity.

Liver transplant is the corner for patients with end stage liver diseases. Posttransplant patients face many challenges including poor general health, physical inactivity and emotional problem. This article reviews studies that explored the impact of physical activity on health related quality of life (HRQOL) for post liver transplant patients. To collect evidence to supporting the relationship between physical activity and HRQOL for post liver transplant patients, a search of the PubMed, CINAHL, Psych Info, EbscoHost, Medline, and ProQuest Dissertations and Theses databases was conducted using key phrases, including chronic liver disease, liver transplant, post liver transplant, liver transplant and physical activity, liver transplant and health-related quality of life. The main search parameters were studies written in English and those conducted between 2005 and 2014. The initial search resulted in 957 records. There were 246 duplicate records. These records were removed. Records were excluded if patients were pediatric, secondtime transplant recipients or receiving more than one organ transplant or if they had active infections. First records were excluded by screening the record titles; 453 records were excluded using this method. Next, records were excluded by screening the abstracts; 214 records were excluded using this method. Finally, records were excluded by screening the entire record text; an additional 37 records were excluded using this method.

The Importance of H. pylori as an etiological agent in gastroduodenal disease had suggested antibiotic treatment as a main target for the elimination of infection and to determine the prevalence of Helicobacter pylori in patients with gastro-duodenal pathologies and the susceptibility patterns of isolates Consecutive dyspeptic patients for endoscopy were recruited in the study. Gastric biopsies were collected from the patients and H. pylori isolated and identified. The present study a total six antimicrobial agents such as Ciprofloxacin, Metronidazole, Norfloxacin, Tetracyclin, Amoxycillin and Clarithromycin were used In against 100 clinical isolates Antibiotic sus-ceptibility was determined by disk diffusion and agar dilution methods against The resistance pattern, amoxicillin and metronidazole (AMRR METR) was the most common (23.7%) amongst the isolates Ninety two (83.6%) of the 110 patients (mean age 42.5 ± 15.7, range 14–70 years) were positive for H. pylori, The antibiotic susceptibility rates were 61% for tetracycline, 54.3% for clarithromycin, 16.4% for amoxicillin and 1.8% for metronidazole. Antimicrobial susceptibility results also revealed 12 antibiotypes based on resistance to the antimicrobial agents investigated.. More than 60% of the isolates exhibited multi-drug resistance to three or four antibiotics. Studies attributed the high level of resistance to the frequent use of the drugs to treat various other infections, ineffective drug control policy and the current treatment regimen in Bikaner.

Ventilator associated pneumonia is the most common nosocomial infection arising as complication at Intensive care units. It affects nearly 8-20% of the clients admitted at intensive care units and is 27% among the mechanically ventilated patients (Al Shameri). The main purpose of this study was, to assess the knowledge and practice of Ventilator associated Pneumonia prevention among nurses at PIC Hospital Lahore. A cross sectional descriptive survey was performed to assess the knowledge and practices among Nurses. A convenient sample of n=122was used to collect the data. A structured adopted questionnaire was used to collect data. The questionnaire consisted demographic variables, Knowledge of VAP and Practices of VAP among the nurses of the ICU at PIC Lahore. The data was analyzed on SPSS version 21. Overall knowledge was satisfactory where 50% of the study participants had good knowledge and gave more than 80% correct responses about different aspects of the Ventilator Associated pneumonia prevention. 30.33% were satisfactory knowledge about the VAP prevention. Overall Practice result very good practices among 83% of the participants who were practicing 20 or more items out of 24 statements. 12.33% had satisfactory practices. Overall knowledge was satisfactory and practices were good among the nurses at PIC regarding ventilator associated Pneumonia.

Nasogastric tube feeding (NGT) is used for those patients who can-not sustain their oral requirements. Poor nursing adherence to evidence-based guidelines has negative consequences leading to higher mortality rates, delayed recovery and longer length of stay. Nurses play an intrinsic role in preventing these infections especially aspiration pneumonia by pursuing standard guidelines. Current study was designed to evaluate nurses’ knowledge and practices of NGT feeding in order to reduce complications. Cross-Sectional Descriptive Study design was proposed. Study population included 70 nurses working in three public sector hospitals in Lahore. Nurse’s knowledge was obtained using a self -structured questionnaire and their practices were recorded by direct observation through a checklist. Data was analyzed using SPSS 20. Data was represented in the forms of figures and tables. By knowledge and practice 60% secured under satisfactory level. Nasogastric tube feeding is a critical practice for seriously sick patients and errors in proper knowledge and skills can lead to serious complications. The present study could identify a high level of gaps in knowledge and skills of applying nasogastric tube feeding procedure. This necessitates the action at training institutions for nurses and on job protocols including monitoring for safety of patients.

Surgical removal of a broken instrument tip in the mandibular posterior region can be a difficult procedure due to proximity of vital anatomical structures of the region. Moreover, accessibility in that area is another factor that adds onto the difficulty. Thus localization of that foreign object is key in its successful surgical retrieval. Here we present such a case, with its complete management and a careful technique of retrieval.

A series of novel semicarbazone derivatives (BS1-22) of (2E)-2-[2-(1, 3-benzoxazol-2-ylsulfanyl)-1-phenylethylidene] hydrazinecarboxamide have been prepared. The structural conformation of the newly synthesized compounds has been established by elemental analysis, spectral analysis and melting point studies. Compounds BS1, BS3, BS9, BS10, BS11, and BS21 have been subjected to anticonvulsant screening by chemo-shock models. In the series, compounds BS9, BS10, and BS11 showed most potent result while compounds BS1, BS3, and BS21 were showing moderate results than standard drug.

The present study aimed to evaluate the effect of educational program on quality of life among elderly regarding oral health. A quasi-experimental pre-test-andpost-test design was utilized to conduct this study. The study was conducted in the geriatric social club in Zagazig City. A purposive sample of 75 elderly subjects who fulfilled the study inclusion criteria. Five tools were used in the present study; Tool I was a structured interview questionnaire to assess elderly’s demographic characteristics, medical history, oral health status, periodic examination of the mouth, dietary habits, and smoking habits, Tool II was elderly oral health knowledge structured interview questionnaire, Tool III was elderly oral self-care practices questionnaire and checklist, Tool IV was the Oral Health Assessment Tool (OHAT) For Non –Dental Professional, and Tool V was Oral Health Impact Profile (OHIP-14) Short Version. The results revealed post-program statistically significant improvements in OHRQoL scores, oral health knowledge, oral self-care practices, and oral health assessment (p<0.001). The follow-up phase showed some declines, but still significantly higher compared with the pre- program levels (p<0.01). The educational program is effective in improving the elderly’s oral health related quality of life.

Kikuchi-Fujimoto's disease KFD is a rare and benign cause of cervical lymphadenopathy. It is an anatomoclinical entity of unknown etiology. The confirmation of the diagnosis is always provided by histological lymph node study. The clinical picture sometimes evokes lymphoma or tuberculosis. The evolution is generally favorable with spontaneous healing after a few weeks. We report the case of a 26-year-old woman who had consulted for cervical lymphadenopathy associated with fever. The cervical lymph node biopsy concluded to Kikuch-Fujimoto's disease. The evolution was marked by rapid regression of lymphadenopathy under corticosteroid treatment.

The present study investigates the comparison of hand hygienic practices in nurses of neonate and pediatric unit allied hospital and DHQ hospital Faisalabad. Hand hygiene is a primary measure to reduce infection in neonates. Hand hygiene is a simple procedure. That can help in reducing morbidity and mortality rate. The purpose of this study is to comparison of hand hygienic practices in nurses of neonate and pediatric unit Allied hospital and DHQ hospital Faisalabad. To assess nurses compliance of hand hygiene related to new born care. To assess association between hand hygiene training and hand washing practice. The study’s methodology involved descriptive quantitative study design. Sample size was 180. Questionnaires were distributed to the nurses of two hospitals. 150 questionnaires returned back. Questionnaire was containing in 3 sections. The data analysis was done using SPSS software version 21. Results describes about I receive formal training for hand hygiene. Results indicate that 100% respondents were Agree with the statement. The mean is 1.0000 with .00000 standard deviation. Results describes about There is a relationship between good hand hygiene practice and hospital acquired infections. Results indicate that 88.0% respondents were strongly agree, 12.0% agree with the statement. The mean is 1.1200 with .32605 standard deviation. Results describes my clinical nursing instructor consistently performs HH when necessary. Results indicate that 65.3% respondents were strongly agree, 28.0% Agree and the UN decided 6.7% with the statement. Hand washing is a primary measure to reduce infection and prevent spread of health care associated infection. Descriptive quantitative design used for this study. Data was collected through adopted questionnaire Descriptive statistics was used for analyzing date.