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Systematic, routine pain assessment using standardized clinical guidelines is the foundation of effective pain management for patients who are unable to self-report pain.In Zambia, there are no context appropriate standardised clinical guidelines for post-operative pain observations.This study sought to develop such a clinical guideline in form of an assessment tool.The study adopted an exploratory sequential mixed method through a three-phased approach and an adapted Clinical Decision...
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Kenya’s education system is undergoing major reforms, especially the curriculum and the human resource aspects. The reforms are aimed at fulfilling Kenya’s national and international goals of education, which are assumed to ultimately support the realization of the nation’s development goals. The education governance structure is reflective of the devolved system of government, even though education is a preserve of the national government rather than a shared responsibility with the county...
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<h2>Abstract</h2><h3>Background</h3> Recent terrorist attacks and mass shooting incidents in major European and North American cities have shown the unexpected influx of large volumes of patients with complex multi-system injuries. The rise of subspecialisation and the low violence-related penetrating injuries among European cities, show the reality that most surgical programs are unable to provide sufficient exposure to penetrating and blast injuries. The aim of this study is to describe...
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ICT security has proven to be one of the fundamental needs of organizations across the world. There has been a lot of research that has been conducted on the subject of ICT security. There has also been a lot of initiatives that have been implemented to improve ICT security education, training and awareness in South Africa. With all these efforts in place, there is still an increase in ICT-related crime in the country. ICT-related crime occurs almost on a daily basis in small enterprises in...
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Nasal colonization with Staphylococcus strains puts children at risk of developing difficult-to-treat staphylococcal infections.Antibiotic resistance data is limited in Namibia.Our study thus aimed to provide resistance trends for nasal staphylococci isolated from school children in the Mariental District.This is the first report on antibiotic resistance trends of staphylococci from Namibian school children.By Kirby-Bauer disk diffusion assay, 352 Staphylococcus aureus and 81...
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The Sendai Framework for Disaster Risk Reduction (SFDRR) was adopted by 187 countries and offers a tangible agenda for evidence-based policy for disaster risk reduction as an integral part of the overall post-2015 global development agenda. The progress of implementation of the seven Global Sendai Targets at the national level is tracked by a set of 38 indicators. However, despite the formal commitment, the majority of countries is currently not in the position to monitor the implementation...
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This article uses the non-linear integrated drought index (NDI) for managing drought and water resources forecasting in a tropical river basin. The NDI was formulated using principal component analysis (PCA). The NDI used hydro-meteorological data and forecasted using recursive multi-step neural networks. In this article, drought forecasting and projection is adopted for planning ahead for mitigation and for the adaptation of adverse effects of droughts and food insecurity in the river...
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A review by Shu Wan of the first comprehensive monograph discussing the issue of disabilities in contemporary Nigerian society, Edwin E. Etieyibo and Odirin Omiegbe’s Disabilities in Nigeria: Attitudes, Reactions, and Remediation, Lanham: Hamilton Books, 2017.
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It is commonly agreed that politeness is reflected in the pragmatic use of language (Brown & Levinson, 1987).Although the politeness phenomenon is universal, with many expressional similarities, each language possesses norms and ways of expressing politeness within a given cultural context.The Kenyan school syllabus caters for the teaching of these politeness expressions across all levels of the curriculum and learners are expected to observe the same.This study sought to investigate the...
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This research was carried out in order to determine the impact of double-intake programmes on the quality of education in the University of Nairobi in Kenya using the teacher coefficient measure. It had one objective and one research question. Using descriptive survey research design the target population consisted of 61,000 regular students enrolled in 43schools/faculties, 5,900 students in their fourth year of study and 2,000 teaching staff. Calmorin and Calmorin (2007) formula for...