September 2018

India has huge population within its boundaries which will create more vocational problem than before. There are many examples of the persons doing jobs below their qualities, abilities, interest and aspirations. Everywhere we see the rush of unemployed persons but the other side of the coin is that there are many such vocations which are vacant for the eligible candidates. So it is very necessary that the interest of the person should be judged since the beginning stage of life. So the researcher tries to make an attempt to study the vocational interest with regard to gender and level of educational aspiration of secondary school students. Result of the study revealed that two groups of secondary level students namely boys group and girls group are found significantly difference on their vocational interest. On educational aspiration dimension students having average level of educational aspiration were not significantly different from the students having high level and low level of educational aspiration while the student having low level of educational aspiration were significantly different from the student having high level of educational aspiration.

This article is the result of research conducted at inclusion school in Bandung City, West Java Indonesia. Inclusive Education that provides opportunities for all children with Disabilities to be able to learn together without any difference in getting the teaching, knowledge as children in general. Using the qualitative approach of descriptive study, this research seeks to reveal the challenges and opportunities of inclusive schools in Bandung. Based on this, ideally a school that carries out inclusive education has strategies, resources, and learning methods that meet the needs of Children with Disabilities. We found that World Challenge which is faced is the readiness of schools in providing services both teaching and facilities adequate for children with disabilities. Another challenge that arises is the school's efforts to prepare all school stakeholders (teachers, friends at school, school committee, parents) in order to accept children with disabilities without any difference with other children. Because children with disabilities who are in a public environment are vulnerable to unfair or bullying. Positive opportunities owned by o dh Ban dung city is the existence of other stakeholders that is government and non-government institutions that provide forms of training for teachers and principals so that inclusion schools in the city of Bandung become more ready to provide maximum services for children with disabilities.

Back ground: Hand hygiene is an important component of infection control, which is critical to ensuring patients’ safety in hospitals. Nurses are regarded as healthcare workers could also be vehicles of cross-contamination within the hospital. Thus study aimed to evaluate multimodal interventional health education program in improving knowledge and practicing toward correct hand hygiene manoeuvres at armed forces hospital southern region, in khamis Mushait, Saudi Arabia. Method: This was a before and after study of a hand hygiene interventional design (lectures, brochures ,video demonstration, group discussion etc ,data on Knowledge and practices was assessed by A 37-item hand hygiene Beliefs Scale designed to determine Nurses’ hand hygiene beliefs on a 5-point Likert scale. The study was conducted at the beginning of (first of March –2017) and after (30 of May 2017), the intervention conducted by well-trained, infection-control and preventive medicine physician. The study included 118 subject, data on knowledge and practices collected before and after the intervention. Result: The improvement in knowledge and practices in the studded group by mean of 13.9 % and 7.2% respectively. Conclusion: knowledge and practices improved after health educational intervention program. Recommendation: generalization of this program on all hospital department and More researches to be done in the future to ensure the nurses sticking to universal precaution guideline

Background: Radiology has turned into a noteworthy field in diagnostic application in both medicine and dentistry. There are various dental maladies that can be diagnosed by the utilization of radiography. Since dental specialists and students operate dental x-ray unit on visit premise in their everyday clinical practice, there is a high likelihood among them to be exposed to x-rays on consistent premise. Aim: The aim of the study was to evaluate the effectiveness of a health education tool about radiation protection among dental practitioners of Madurai city. Objectives: To assess the Knowledge, Attitude and Practice of radiation protection among registered dental practitioners of Madurai city followed by educate the dentist and to reassess the Knowledge, Attitude and Practice of radiation protection among registered dental practitioners of Madurai city. Materials and Methods: It is an Interventional Study to assess Knowledge, Attitude and Practice of radiation protection amongst Madurai dentists before and after using a Health education tool. Dentists who met inclusion criteria (n=115) were assessed about Knowledge, attitude and practice of radiation protection through a validated, Self-Administered questionnaire and health education was given to all the participants by Pamphlets. After the intervention, the questionnaire was completed by the participants. Paired t test was used for statistical analysis at a significance level of 0.05. Results: At the end of the study, the change of scores in the knowledge, attitude and practice of radiation protection among dentists was statistically significant (P < 0.05). Conclusion: Educational Intervention lead to change in the score of knowledge of dentists about radiation protection which was statistically significant (0.007) but the attitude and practice of ergonomics did not show any significant improvement.

Background: Shoulder disorder are common musculoskeletal disorders, one in every 5 persons experiences shoulder problems at some time in his / her life. It is a phenomena of mechanical compression of the rotator cuff against the anterior under surface of the acromion and caracoacromial ligament particularly during arm elevation. Objective: This study was conducted to investigate the effect of low level laser therapy versus acupuncture like TENS in chronic shoulder impingement syndrome on intensity of pain, joint ROM and Functional level of shoulder. Subjects: 30 adult male patients, their age range from 25-40 years, subjects were classified to 2 groups Group A: 15 patients received LLLT and conventional treatment (ultrasound, selective strengthening and stretching exercises for shoulder joint).Group B:15 patients received AL-TENS and conventional treatment. Methods: pain intensity measured by visual analogue scale, ROM of shoulder measured by electrogonimeter and functional level of shoulder measured by shoulder pain and disability scale. Results: the study revealed that there was a significant effect of LLLT Group (A) on pain intensity level, shoulder joint ROM and shoulder functional level in CSIS, also there was a significant effect of AL-TENS Group (B) on pain intensity level, shoulder joint ROM and shoulder functional level in CSIS, but LLLT group had a significant difference and improvement in pain intensity level, shoulder joint ROM and shoulder functional level than AL-TENS group in CSIS. Conclusion: Both LLLT and AL-TENS had a significantly effect on pain intensity level ,Shoulder joint ROM and shoulder functional level in CSIS, but the LLLT group more significant effect in pain intensity level, shoulder joint ROM and shoulder functional level than AL-TENS in CSIS.

Back ground: The prevalence of cerebral palsyin developing country is high. It is one of the most common causes of childhood physical disability. Purpose: To establish a registry of cerebral palsy in Port Said Governorate-Egypt. Subject and Methods: One hundred twenty children with cerebral palsy of both genders who were receiving physical therapy in Port Said Governorate participated in the study. Their ages ranged from one month to 18 years. They were recruited from three public hospitals and four private centers in Port Said Governorate. They were subjected to confidential modified Australian Registry Form.This study was conducted from December 2017 up to March 2018. Results: The findings revealed that the prevalence of CP children who received physicaltherapy services was 3/10000 live birth in Port Said Governorate. Boys represented 69.2% and girls represented 30.8% from total cases. The percentage of the types of cerebral palsy was about 91.6% spastic, 6.7% hypotonic and 1.7% dyskintic. According to Gross Motor Function Classification System; level V has the highest percentage. According to Manual Ability Classification Scale and Viking Speech Scale, level II has the highest percentage. Conclusion: Prevalence of cerebral palsy in Port Said Governorate is low. Spastic type of cerebral palsy has the highest frequency.

In the highly competitive environment, the use of international mergers and acquisitions can effectively gain the advantage and market. Through mergers and acquisitions, enterprises can quickly obtain new products, enter new markets or enter different industries to achieve new growth. Although mergers and acquisitions can enable enterprises to obtain new competitiveness and market share in a short time, patented technology, technology integration, professionals. However, there are not many successful mergers and acquisitions planned, so international mergers and acquisitions must have the worst-case evaluation, and fully respond to changes in mergers and acquisitions at any time, making mergers and acquisitions easy to succeed. A benchmark for improving management efficiency.

Background: The actions of the health system should be responsive and financially fair, while treating people respectably. In the public sector, a Health Sub-centre is the most peripheral and first point of contact between the primary health care system and the community. A Sub-centre provides interface with the community at the grass-root level, providing all the primary health care services. Objectives: to study the infrastructure available at sub-centres and to find out gaps in functioning of subcentres in rural area, Jhansi. Methods: This was a cross-sectional study which was carried out during the period June 2016 to June 2017 in the sub-centres of district Jhansi, Uttar Pradesh. The data were collected by facility survey and interview technique on a pre-designed, structured and pre-tested schedule designed as per IPHS norms for the sub-centres. Results: 70% of subcentes in Badagoan had designated government building available for the Sub- Centre while remaining 30% were located in Rented building. Around 47.4% of the beneficiaries are not satisfied with their visit to the sub centres. Conclusions: System gaps remain in infrastructure, equipment, drug supplies, communication, and timely referral and transport facilities. However as the data suggests, many sub-centers lack basic facilities like water, electricity or toilets, which raise serious questions about quality of care provided.

Background: Knee pain is one of the major sources of pain and disability in developed countries and is the primary indication for total knee replacement (TKR) in patients with Osteoarthritis (OA). Purpose: To assess myofascial trigger points (MTrPs) distribution pattern in muscles around the knee joint pre and post-treatment program in patients post TKR. Design: pre - posttest experimental design. Methods: Fifty female and male patients post TKR. Their age ranged from 50-80 years old. All patients were observed and assessed for the distribution of the MTrPs in muscles around the knee joint pre and post-treatment program. All 50 patients were randomized equally to 2 groups: group A (experimental) received myofascial release (MFR) and exercises and group B (control) received exercises only. Assessment was done by transparent grading sheet to locate MTrPs accurately during our assessment pre and post-treatment. Results: There was a significant decrease in MTrPs numbers in group A post treatment compared with that pre-treatment (p < 0.05). Conclusion: MFR is effective treatment for MTrPs in patients post TKR.

Over the past decades, the competition of household air conditioning products has become sharp in Taiwan. The life-cycle of a producthas reached its maturation. Moreover, as the global trend of micro-profits arrives, many brands including some famous and other ordinary ones have been created by enterprises. This trend not only leave an enterprise no other choices but to adjust its very own constitutions(such as the transformation of its interior procedures, reducing its own operating costs, and innovating a new product), but also renew its selling strategy in order to raise its market share.For example, due to the rapid revolution of technologies, the consuming culture has also undergone a lot of changes. Because the consumers are easily influenced by mass media and commercial advertisements, a totally different consuming culture might have been formed. Owing to this fact, consumers might have lowered their loyalties to a brand such that an entrepreneur must apply the following strategies to regain his winsome advantages over his competitors, e.g. taking cost-driven leadership,making product-differentiation, or using focused strategy. The research method of the present study took Linear Probability Model and distributed 600 questionnaires to related consumers in the northern, central and southern parts of Taiwan. The purpose of this research is to understand what important factors there are and among which what is the most crucial factor aslong as a consumer purchase a new air conditioner, in order to give some advice to the relevant producers. The studying result shows that under the significance level (i.e. p=0.05), whether the following ten factors have obvious effects on a consumer’s buying activity of an air conditioner in a household: (1) types of air conditioners, (2) brands of air conditioners, (3) the person who made the decision of purchase, (4) the preferred brands, (5) the “Green factor”, i.e.whether an enterprise is environmentalfriendly or not, (6) health and safety considerations, (7) quality-or service-related factors, (8) promotion, (9) locality, and (10) annual income of a family.