Evaluasi Kebijakan Pengawasan Pelekatan Pita Cukai pada Minuman Mengandung Etil Alkohol (Mmea) Buatan dalam Negeri (Studi pada Kantor Pengawasan dan Pelayanan (Kppbc) Tipe Madya Cukai Malang)

The domestic affairs Ethyl Alcohol Beverage production shows increasingly, makes Malang Office of Monitoring and Service Tax Excise Madya Cukai Type run faster for monitoring. The goal of this research is to know and evaluate the implementation of stamp excise agglutinative monitoring policy of domestic affairs Ethyl Alcohol Beverage, especially in Group B and Group C. Its analyzis based on William N. Dunn criteria model, those are effectiveness, eficiency, sufficiency, justicy, responsivity, and accuracy. This research also tries to explain and eveluate the supporting factors and the obstacle of its policy implementation. This is qualitative descriptive research. The primary datas by interviewing staff of Malang Office of Monitoring and Service Tax Excise Madya Cukai Type, Ethyl Alcohol Beverage producer and distributor, and also its consumers. Secondary datas come from some relevant documents. The research result shows that some of the criterias are done, like effectiveness, justicy, and responsivity. While the efficiency, sufficiency, and accuracy are not included. The supporting factors like from its good qualification employees, external aid, government support, and society support. The obstacles have a tendency from the minimum employees to do the task, and about low awarness of society or consumer

Human Microsporidial Infections

Microsporidia are eukaryotic, spore forming obligate intracellular parasites, first recognised over 100 years ago. Microsporidia are becoming increasingly recognised as infectious pathogens causing intestinal and extra-intestinal diseases in both immuno-competent and immuno-suppressed patients. They are characterised by the production of resistant spores that vary in size depending on the species; and poses a unique organelle, the polar tubule (polar filament), which is coiled inside the spore as demonstrated by its ultra structure. Other unusual characteristics are the lack of mitochondria and the prokaryotic-like ribosomes, which indicate the primitive nature of the group. Presently there are seven genera, Enterocytozoon, Encephalitozoon, Nosema, Pleistophora, Trachi pleistophora, Brachiola, vittaforma species which have been reported from human hosts as agents of systemic, ocular, intestinal and muscular infections, are described and the diagnosis, treatment, and source of infections discussed

First detection of intestinal microsporidia in Northern Nigeria

Microsporidia are intracellular spore-forming protozoa that are increasingly being recognized as pathogens in humans. Faecal samples were taken from 2250 HIV/AIDS and 1050 HIV-negative patients from Kano and Makurdi in Northern Nigeria, and were investigated for microsporidial infections by Giemsa staining technique (Light microscopy). In Kano, Enterocytozoon bienuesi was detected in 8 (14.17%) and Encephalitozoon intestinalis in 5 (2.60%) out of 192 HIV/AIDS patients screened. A mixed infection of both 0.52% was observed. Results from Makurdi showed that Enterocytozoon bienuesi was detected in 13 (0.65%) and Encephalitozoon intestinalis in 96 (4.78%) out of 2008 HIV/AIDS patients examined. No mixed infection was observed. Microsporidial spores were not found in 1050 HIV-negative patients screened from both areas. There was a significant difference (X2, p<0.05) in infection rates between the HIV/AIDS and HIV-negative patients. This study aimed at detecting the prevalence of intestinal microsporidia to provide baseline data on the status of this disease in Nigeria. Detection of Microsporidia in Immuno-compromised patients has not been described previously in this area

Evaluation of children's centres in England (ECCE) : strand 1: first survey of children's centre leaders in the most deprived areas

This report is the first output from the Evaluation of Children's Centres in England (ECCE), a six year study commissioned by the Department for Education and undertaken by NatCen Social Research, the University of Oxford and Frontier Economics. The aim of ECCE is to provide an in-depth understanding of children's centre services, including their effectiveness in relation to different management and delivery approaches and the cost of delivering different types of services. The aim of Strand 1 is to profile children’s centres in the most disadvantaged areas, providing estimates on different aspects of provision with which to select centres for subsequent stages of the evaluation and to explore different models of provision. The findings below relate to 500 children's centres that are representative of all phase 1 and 2 centres (i.e. those in the 30percent most deprived areas).</p

Interference of composite bosons

We investigate multi-boson interference. A Hamiltonian is presented that treats pairs of bosons as a single composite boson. This Hamiltonian allows two pairs of bosons to interact as if they were two single composite bosons. We show that this leads to the composite bosons exhibiting novel interference effects such as Hong-Ou-Mandel interference. We then investigate generalizations of the formalism to the case of interference between two general composite bosons. Finally, we show how one can realize interference between composite bosons in the two atom Dicke model

Ambulatory Care Skills: Do Residents Feel Prepared?

Abstract: Objective: To determine resident comfort and skill in performing ambulatory care skills. Methods: Descriptive survey of common ambulatory care skills administered to internal medicine faculty and residents at one academic medical center. Respondents were asked to rate their ability to perform 12 physical exam skills and 6 procedures, and their comfort in performing 7 types of counseling, and obtaining 6 types of patient history (4 point Likert scale for each). Self-rated ability or comfort was compared by gender, status (year of residency, faculty), and future predicted frequency of use of the skill. Results: Residents reported high ability levels for physical exam skills common to both the ambulatory and hospital setting. Fewer felt able to perform musculoskeletal, neurologic or eye exams easily alone. Procedures generally received low ability ratings. Similarly, residents’ comfort in performing common outpatient counseling was also low. More residents reported feeling very comfortable in obtaining history from patients. We found little variation by gender, year of training, or predicted frequency of use. Conclusion: Self-reported ability and comfort for many common ambulatory care skills is low. Further evaluation of this finding in other training programs is warranted

Graduate Student Perceptions of Cohort Delivery and Problem-Based Learning in Online Principal Certification Courses

This qualitative study examined graduate/post-graduate student perceptions regarding the use of a cohort model and Project-Based Learning (PBL) in a completely online principal certification preparation classes. As part of a TEA funded grant, two districts (a cohort of 17 students) completed 24-semester hours of principal certification courses. All classes were online and emphasized PBL to engage the students in higher-level thinking skills. Participants responded to an open-ended survey regarding their perceptions of cohort and PBL experiences. Findings indicate graduate/post-graduate student perceptions were positive concerning both the cohort model and the PBL learning experiences. However, participants provided valuable feedback for improvements related to cohort organization, communication, and PBL introduction or presentation. Three themes emerged from the thematic analysis and peer debriefings: Theme One (T1)-Cohort Experience, Theme Two (T2)-PBL Experience, and Theme Three (T3)-the Interaction between Cohort and PBL Experiences

The Effect of Church Conflict on the Growth of Pentecostal Churches in Kenya: A Case Study of Selected Churches in Nairobi

The purpose of the study was to determine the effect of church conflict on the growth of Pentecostal churches in Kenya with focus on selected churches in Nairobi which are struggling with growth. The objectives of the study were to investigate the nature of conflicts in the Pentecostal churches in Kenya, determine the effect of conflict on the growth of Pentecostal churches in Kenya, and to assess the conflict resolution mechanisms employed to solve the conflict in Pentecostal churches in Kenya. The study was carried out in branches of four churches which experienced growth challenges, namely: Full Gospel Churches of Kenya, Kenya Assemblies of God, Pentecostal Evangelism Fellowship of Africa, and Worldwide Gospel Church of Kenya. The study used qualitative research approach as it intended to collect data based on participants’ subjective experience, and its ability to uncover unexpected and exploring new avenues. The target population was church leaders who have been in the church for at least two years. The study used purposive sampling method to select the church leaders in influential positions (i.e., leaders that direct and/or lead a church ministry) of the selected churches according to the church leadership structure espoused by each of the four selected churches. Proportionate stratified sampling was used where equal number of units was selected from each stratum. Data was collected using face-to-face individual interview schedule. The data was analyzed thematically using content analysis method. The researcher came up with the vital themes, recurring ideas, and patterns of belief, which assisted with the integration of the results. The study found that there were conflicts in all the churches under study. The study established that there were top leadership wrangles at the national level seeking to control the church. There were also local church leadership wrangles pitting pastors and other leaders and conflict among other leaders within the church. The study established that conflict negatively affected the growth of the church as the churches lost members to other churches around. Among the conflict resolution mechanism used were prayer and fasting, dialogues, and courts. The study recommends that the Pentecostal churches should adopt conflict resolution methods and avoid conflicts by practicing inclusivity