The scalp is a specific anatomic district, in which the most elevated density of pilo-sebaceous follicles is available and terminal hairs are concentrated. Scalp lesions are the most disregarded since they are not effortlessly seen with ensuing deferral in recognition and late treatment. This examination is expected to decide the histopathological investigation of Scalp Lesions. The present review think about assessed 65 instances of scalp lesions from the record of one of the tertiary care hospital of Uttar Pradesh over a span of three years. All the histopathologically demonstrated instances of scalp lesions were explored and clinical points of interest were gotten from the documents. Age, sex, and histology of the considerable number of examples were assessed. Among the 65 cases, 38 (58%)) cases were benign lesions. The male to female proportion was 1.5:1. Benign conditions were most conspicuous and small portion were malignant. Age appropriation in benign lesions was 20-40 years though malignant lesions were found in the elderly. Scalp injuries are uncommon, benign lesions are more common. For each situation of a scalp lesion a wide differential conclusion must be considered. Enhanced clinical experience and hospital participation with more thorough detailing would yield more illustrative information.

Nurses are facing practice problems that causes disturbing and stressful situation. The most common and prevalent issue is moral distress. Moral distress is affecting performance of professional nurses at health care setting. Cross-sectional study design was used. Questionnaire consisted on 5 point Likert scale adopted was used to know the impact of moral distress on nurse’s performance with sample size 187 Nurses from Public Hospital Lahore. Finding of the study shows that there is a significant negative (reciprocal) impact of moral distress on performance of nurses The current study concludes that moral distress decrease the job performance of the nurser’s at hospital settng. This study revealed the negative relationship between moral distress and nurses’ performance. The study findings will enable the health care organizations to enhance the performance of staff nurses by minimizing the factors that are causing moral distress among nurses. Hospital can arrange workshops and education sessions to give awareness to deal moral distress situations

This study reports baseline information about melanocytic neoplasms in TUTH. The objective was to study the histological spectrum of melanocytic nevi and melanoma, and to make a clinicohistopathological correlation. 50 consecutive cases of melanocytic neoplasms were studied from December 2010 to December 2011.Of the 50 cases, 12 (24%) were malignant melanoma and 38 (76%) were melanocytic nevi. Cutaneous melanocytic nevi was the commonest, 30/38, (79%) followed by 8/38 (21%) conjunctival nevi. Head and neck was the commonest site (25/38) and the mean age at presentation was 32.66 +16.19 years, the female to male ratio being 5.3:1.In melanoma, 4 (33%) were extracutaneous, of the cutaneous, 2 (17%) were acral lentiginous, and 6 (50%) were nodular. Mean age was 50 + 16.99 years with an equal female to male ratio. Commonest site was extremities (6/8) in cutaneous and choroid in extracutaneous (2/4) lesions. Concordance between clinical and histopathological diagnosis were found in 30/50 (60%) cases. Melanocytic nevi are quite common in females, melanoma is rare, affecting men and women equally. In our context melanoma likely represents a sporadic disorder. Difference from the western societies is the common occurrence of nodular melanoma here and the topographical distribution.

The use of herbal medicine in Nigeria is on the increase but unknowingly to consumers, these herbal products may pose severe and devastating health hazards. This study was aimed at studying the adverse impacts posed by either the ethanolic extract ofroot back or leaf extract of Rauwofia vomitoria on cerebellar glycogen. In this study, 30 adult Wistar rats were used and were randormly divided into 6 groups (A, B, C, D and E; n =5). Identification of Glycogen was determined using Periodic Acid Schiff method (PAS). From this investigation, there was a marked increase in the staining intensities of the experimental groups. The staining intensity of PAS was higher in the groups C and D which were given 200mg/kg and 300mg/kg of ethanolic extract of Rauwofia vomitoria root-bark when compared to groups E and F which received 200mg/kg and 300mg/kg of ethanolic leaf extract of Rauwofia vomitoria. Findings in this study suggest a dose-dependent accumulation of glycogen in the neurons of cerebellum, especially in the Purkinje cells. This could be due to the effects of indole alkaloid constituents (reserpine) of Rauwolfia vomitoria on glycogen synthesis and utilization

Trichomonas vaginalis amongst other STIs facilitate the natural history of HIV infection and may play an important role in the transmission dynamics of HIV. In this study we determined the prevalence of T. vaginalis infection and associated risk factors among HIV-1 infected women attending antiretroviral treatment Center at Jos University of Teaching Hospital. The study was a cross sectional survey of 168 HIV-1 infected women who presented to the STI clinic with symptoms and/or without symptoms of T. vaginalis infection from November 2015 to January 2016 after obtained informed consent. Demographic data and high vaginal swabs were collected by trained nurse. The samples were examined by light Microscope to identify T. vaginalis, Candida species and bacterial vaginosis. Of 168 HIV-1 infected women, 87 (51.8%) were positive for T. vaginalis infection. The rate of co-infection of T. vaginalis with bacterial vaginosis, Candidiasis was 44.8% and 5.7% respectively, both showed no statistical significance, P=0.360. The highest prevalence of T. vaginalis infection 29.8% was among individuals in the 30-41 years age group while the lowest 3.05% was among individuals in the 54-65 years age group. In the univariate analyses; age, occupation, educational status, marital status, previous history of STI, condom use, multiple sexual partners, pregnancy, ART status and symptoms manifestations showed no significant association, but in multivariate analyses, history of STI , symptoms manifestations showed significant association with p>0.05. The high prevalence of T. vaginalis highlights the need for routine screening among HIV-infected women.

Tuberculosis (TB) is commonly associated with poverty and under-nutrition in both developed and developing countries. Being underweight has been associated with a higher risk of tuberculosis in several studies. A retrospective descriptive study was conducted to analyze TB surveillance data from the chest clinic teaching hospital Batticaloa, in SriLanka. Finally, 103 TB patient’s records were analyzed and available data were extracted. The prevalence of underweight among TB patients is 39(37.9%). Obesity and overweight were associated with a significantly lower risk of both clinically active and culture-confirmed tuberculosis

Information plays a key role in helping the recovery of patients of alcohol and drug abuse (ADA). In the rehabilitation centres, ADA patients are engaged in a treatment programme and are expected to integrate back to the society and become productive people. Alongside other medical procedures, information plays an important role in helping in the recovery of patients of alcohol and drug abuse. This study aims to evaluate the access and use of information services to patients of alcohol and drug abuse in Nairobi County, the case of Asumbi Treatment Centre and to suggest ways in which they can be enhanced. The objectives of this study were: to determine the information needs ADA patients in the rehabilitation centre; to establish information seeking habits of ADA patients; to find out how ADA patients use information; to assess the existing information services available to ADA patients; to find out the challenges faced by ADA patients in accessing and using information, and to suggest ways of enhancing provision of information services to ADA patients in rehabilitation centres. This research adopted a case study design and the approach was mixed, having both qualitative and qualitative approaches. The findings revealed that ADA patients have their unique information needs and they experience challenges of accessing and using information. The study identified inadequate facilities for ADA patients to access and use information services in the rehabilitation centre. Among the major recommendations in this study is that ADA rehabilitation centres should establish information centres, and in addition, offer bibliotherapy services to its patients.

This study aimed to study the effects of age and body mass index on infertility, preovulatory endometrial thickness, and pregnancy outcome after ovulation induction/intrauterine insemination. Twenty unexplained infertility women and thirty polycystic ovary syndrome women subjected to ovulation induction/intrauterine insemination were enrolled in this study. Only two polycystic ovarian syndrome women (4%) became pregnant. There was significant effect of age on endometrial thickness for unexplained infertility and polycystic ovarian syndrome women (P=0.02, P=0.05, respectively). Body mass index and endometrial thickness were independent factors for unexplained infertility and polycystic ovarian syndrome women (P=0.26, P=0.4, respectively). Age adversely affected endometrial thickness while body mass index was not correlated with endometrial thickness

In this age of information explosion no library is able to satisfy all the needs of its users due to various constraints. It is because of this phenomenon that the concept of library IMS has developed. To achieve this, those who are responsible for the libraries should take into account their active and passive users. Furthermore, not only the academicians who make use of the libraries but also those who do not make use of them should be considered. It is against this background that this study main purpose was to evaluate the effectiveness of the use of opens source Integrated Management Information Systems (MIS) in Libraries, Strathmore University as a case. The objectives of the study were: to determine the effectiveness of open source integrated information management system in use at Strathmore university library, to find out the users’ attitudes towards the integrated management information system at Strathmore University Library’, to find out the challenges facing the integrated management systems in Strathmore university and suggest recommendations that would help in improving the use of Koha at Strathmore University Library. The study utilized a case study and was carried out within Strathmore University. The study found out that the integration of information management system in the provision of library service is to a great degree perceived to be effective. However, there was need for improvement. The findings further revealed that, most members of staff and students have positive attitudes towards the use of Koha at the Strathmore University library. This implies that they would appreciate being trained to use it and support any efforts to improve the system. The study concluded that there were still enormous challenges in integration of the management information system in Libraries due some reasons for instance the constant change of software, internet failure and the lack of technology know how among some clients. The study recommended that there is need for continuous training to students and staff to keep then abreast of the technological changes of integrated information systems and innovative strategies of dealing with the challenges associated with Koha.

Acute myeloid leukemia (AML) is a very heterogeneous group of hematological malignancies, Characterized by clonal proliferation of abnormal myeloid precursors and altered normal hematopoiesis. The world Health organization (WHO) classification retains the diagnostic threshold the infiltration of the bone marrow by more than 20% of non-lymphoid blasts. AML 2 represents 30% to 40% of AML, the translocation (8; 21) is identified in 5% to 10% of all AML cases and 10% to 22% of AML2 cases. We report a case of AML 2 discovered in a 56-year-old woman, during a paraclinical assessment of acute pancreatitis. The hemogram showed a pancytopenia. The blood smear revealed the presence of circulating blasts estimated at 36%. The medullogram revealed a medullary invasion by undifferentiated blast cells estimated at 59%, Myeloperoxidase staining was positive. The patient was given antibiotic therapy and rehydration. An extra-renal treatment was performed due to the installation of acute renal failure. Evolution was marked by death following infectious complications

The fishing community is fisherman patorani community that specifically captures the parent and fish eggs "Torani" (flying fish). The fishing community estimated patorani born since the 17th century and operate locally around the Sulawesi Sea, and catch fish species Torani and even other fish species. Since the birth until the early 20th century are still relying on the screen (Sombala) as a boat towing machine and rely on wind power. This study focused on social change traditional fishermen to fishers patorani. This study used qualitative methods descriptive, and data retrieval preliminary observation, interviews and documentation. Informants consisted patorani fishermen, boat owners and owners of capital. The research found that social change occurs due to the internal state of the orientation of the needs and dynamics of the owners of capital, while externally caused by the influence of the market on the fishing community by promising greater income and special one species of fish and fish eggs Torani. Changes it, then forcing the fishermen to make fundamental changes include a shift in social relations that were once family-oriented and then turn to the professional relationship and the contractual and binding.

The involvement of the ovary by malignant lymphoma is a well-known late manifestation of disseminated nodal disease. Primary ovarian lymphoma is rare. We report a case of primary ovarian non-Hodgkin’s lymphoma with unilateral involvement which was managed by surgery and chemotherapy. A 42-year-old woman was admitted with signs and symptoms suggestive of an ovarian cancer. Computed tomography revealed a tumor of the left ovary measuring 12 cm in diameter, without enlarged lymph nodes. The tumor was classified as a diffuse large B-cell lymphoma. The patient has been advised 6 cycles of CHOP regimen and is presently on treatment. She has now been without disease for 36 months after the surgery. According to previous reports the treatment principles and prognosis of primary ovarian large b-cell lymphoma is the same as that of other nodal lymphomas

Abstract: In accounting, financial reporting dominantly focus on profits. There is growing pressure on social sensitivity of accounting. Sustainable Development Goals advocate for concern to the environment. Some researchers have endeavored to demonstrate how accountancy need to respond to the social concerns beyond traditional goal of profit maximization that singles out shareholders from the many stakeholders. However, these studies have been deficient in addressing the moderating influence of stakeholder knowledge on the relationship between social reporting and sustainability accounting. The study adopted Mixed Methods Research of survey design. The target population comprised of the factory unit managers and accountants as the key informants, drawn from tea factories of Mount Kenya region. The sample was obtained by simple random and stratified sampling techniques. Questionnaire was the main data collection instrument. Data analysis entailed simple binary and hierarchical multiple logistic regression analysis using SPSS. Study results were presented in frequencies, percentages and skewness for descriptive and binomial regression output for inferential statistic. The study found out that tea factories practice social activities that they incur costs which were treated as overhead costs and benefits were derived by tea factories. There was a statistically significant influence of social reporting on sustainability accounting; which was insignificantly moderated by stakeholder knowledge. The study findings were of significant to organizations’ strategies to respond to social externalities which in accounting terms affect the organizations profits in the long run. The study recommends tea factories adopt an integration of social reporting and financial reporting.

Stress has been seen as a routine and accepted part of the health care worker’s role there is a wonderful research on stress in nurses worldwide. The interaction among stress and caring behaviors remains quite not examined, especially in the Asian working environment, where it is the not first time that this specific issue is being studied. The aim was to inspect and discover the correlation among occupational stress, caring behaviors and their quality of life in association to health. The aim is to observe the levels of stress facing by nurses working in a Government hospital Lahore Pakistan and explore change in perceived stress levels by department and linked with job perspectives. A co-relational study design was employed, with a two-stage cluster sampling process. Data collection was by means of a self-administered questionnaire, and nurses were investigated across 10 different wards using the perceived occupational Stress Scale. The response rate was 78%. , perceived stress levels were found to be significantly higher in age group 25 to30 59%. There was significant difference between the education levels with regard to job stress; however, differences did occur with experience, the reporting the lowest level of BSN nurses. A significant association was seen between the age and perceived stress even after adjustment. The findings suggest that perceived stress does vary within different work age group in the same hospital. Job elements, such as requirement and supply, are important with regard to perceived stress. Preventive measure was not found to play an important role

This study assessed private property developer‟s involvement in urban development decision in metropolitan Kano. It is commonly acknowledged that private property developers provides over 90% of the properties in Nigeria, but despite this massive strides they are not involved in decisions making regarding urban development. Primary data for the study was acquired through administration of questionnaire to 127 property developers in Kano metropolis comprising of 114 private individuals and 13 corporate respondents. The major findings of the study reveals extreme negligible involvement of developers in almost all the aspects of urban development decisions such as access to land, infrastructural provision and housing finance. Respondents suggested involvement in the form of empowerment, collaboration, consultation, information sharing and active involvement by the government and urban managers. The study concludes by recommending collaboration between the government and private sector in order to boost the activities of private property developers in the spirit of Private-Public Partnership.