If the coronary blood supply is not sufficient to meet the needs of the heart, the result may be ischemia, injury or an infarction (necrosis) of the heart muscle itself. • tHe left main coronary artery branches into; •left circumflex coronary artery •left anterior descending (LAD) coronary artery. • The right coronary artery (RCA) supplies nutrients and oxygen to the right atrium, the right ventricle and the inferior wall of the left ve

A mother should be ready in all aspects: physically, mentally, socially, economically. Genetic testing and counselling Proper nutrition Treatment of existing diseases and conditions Prevention of unwanted pregnancies Consideration for extreme ages

• A nurse who wishes to be an effective caregiver must first learn how to communicate effectively. • Good communication skills enable nurses to get to know their patients, take history, diagnose, plan and meet their needs for nursing care. • To adequately document the patient’s health history, communication techniques are important. • Communication skills are therefore the building blocks of professional relationships between nurse and client, and the nurse and co- workers. • Good skills help in exchange of ideas to facilitate problem solving.

Pharmacology is the study of the biological effects of chemicals. • Pharmacognosy- is the study of medicines or crude drugs produced from natural sources such as plants, microbes, and animals • After a drug is administered, it is called a medication. • Drugs- A drug is a chemical agent capable of producing biologic responses within the body.

Facts about the heart; The heart weighs 200 to 425 grams and is a little larger than the size of your fist. Each day, the average heart beats 100,000 times, pumping about 7,571 liters of blood.

It’s the examination of the inside of the bladder. Ureters renoscopy ( URS)is examination of the upper urinary tract(ureter and renal pelvis and calyes. A cystoscope is a long thin optical instrument with eye piece at one end a rigid or flexible tube in the middle and the tiny lens and the light at the other end of the tube the cystoscope is inserted into patient’s urethra and the small lens magnify the inner lining of the urethra and bladder allowing to see the hollow bladder .

Non-steroidal anti-inflammatory drugs (NSAIDs) are administered to patients suffering from rheumatoid arthritis(RA) mainly to offer symptomatic relief (reduce inflammation and pain) hence preserve function

Factors that influence urine production include Glomerular filtration Tubular reabsorption Tubular secretion. Many substances increase urine production by the normal kidney including dietary components such as water, osmotically active salts and sugars and xanthines

Errors are an integral part of human life. According to the National Coordinating Council for Medication Error Reporting and Prevention, a medication error is defined as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer,”. Such events may be related to professional practice, healthcare products, procedures, and systems, including prescribing; order communication; product labeling, packaging and catalogue; compounding; dispensing; distribution; administration; education; monitoring; and use

Hypertension is a sustained state of higher-than normal BP that can lead to blood vessel damage and damage to small vessels in the organs. A decrease in blood flow to the kidneys triggers the renin–angiotensin–aldosterone system, by which the blood vessels constrict and water is retained. This activity increases blood pressure and restores blood flow to the kidney

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CHAPTER ONE: BUSINESS DESCRIPTION The business name will be Makori Airbnb located in Kisii Town adjacent to Kisii general hospital within CBD, Business address is P.O Box 158 kisii. The form of the business will be sole proprietorship so that all the profit is enjoyed by oneself. The starting capital will be 1.5 Million, other sources will be grants and loans. CHAPTER TWO: MARKETING PLAN The Airbnb business just like other service industries is an exciting and a competitive venture, expanding rapidly ranging from civil courts to huge investments of top Airbnb firms. Starting and running a Airbnb may be challenging and daunting, but a profitable Airbnb business venture. The marketing plan takes into cognizance the dynamic and competitive market nature unpredictable demands of the Customers. The initial and prudent steps will to increase the market share through advertisements and promotions to publicize the Airbnb services offered to attract more Customers. The specific target market population is the general public, people within the building, town residents, the nearby hospital employees, patients, students and lecturers. The main competitors of the business will be those other entities carrying out similar business activities within the market area. The proposed business aims to provide efficient and real-time services and quality services, the menu pricing of the services will be considerate and reasonable. CHAPTER THREE: ORGANIZATION AND MANAGEMENT PLAN Makori Airbnb is to operate under a competent management with the support of key personnel who shall be skilled and are resourceful in Airbnb service. These will include employees who are knowledgeable and experienced in business field. The Airbnb firm, therefore, shall require the services in Airbnb. The recruitment shall be carried out with regard to educational qualifications and training background for those aspiring for senior positions of responsibilities, duties, supervision and services. Other subordinate employment entry level may not require specific academic standards other than emphasis on good personality and ability to work with people cordially with hospitality holding all Customers with high regard. To improve quality of service to Customers, on-job and in-house training exercises shall be conducted from time to time to reinforce the needed and relevant business skills and knowledge. The promotion of an employee shall be based on merit, capability, performance, production and loyalty. The employees’ incentives will be based on overtime and salary increments and other monetary gifts depending on the prevailing cost of living. The business will operate legally under the government policy and county by Airbnbs and acquiring relevant business licenses, permits and other by-business. Amongst other supporting services the business shall seek are legal, banking and postal services. Health and safety mechanisms shall be applied and fire extinguishers shall be fitted. In addition to the postal services, the business shall consider the use of Information Communication Technology (ICT) by developing a fully functional website to reach a wide client market. CHAPTER FOUR: OPERATIONAL AND PRODUCTION PLAN Business shall need to invest in essential Airbnb equipment and tools, supplies and furniture appropriate for the modern Airbnb business and to ensure efficiency and comfort. The size and space of the room(s) to place necessary business equipment, to be considered for easy access whenever service calls. Running an Airbnb requires an attractive space to lure Customers, and plenty of Airbnb equipments and tools/ware for good and expeditious service delivery. The business will be situated in Kisii Town, occupying the ground floor of Mwangaza building, located opposite Kisii County General Hospital, adjacent to the public service vehicles/buses terminus. The location is within the plum central business district (CBD) of Kisii Town. It will serve the general public, people within the building, town residents. The whole idea was arrived at after thorough observation and viability study that there are no better optional Airbnb services within this vicinity aside from the temporary structures serving as Airbnb firm. Major Airbnb is located distant from this area. The locality is very accessible through good network of roads and inhabited with high population which consequently presents favorable Airbnb opportunities and good market for the Airbnb services. Other essential amenities and utilities that entice business establishment such as security, water and electricity are available. CHAPTER FIVE: FINANCIAL PLAN This is a concise statement that requires financial calculations and expected income. The business desired financing is to be inclusive of pre-operational costs which cover costs of renovating the premises, rent, purchasing and installation of equipment, insurance and licenses, legal procedures, water and electric utilities, cost of advertisements and promotions. Makori Airbnb will uphold the financial management policies and accurate book-keeping for day-to-day exigencies and for posterity of references of finance records. The books of the business accounts will be verified and audited regularly. The capital required to commence the business will be approximately Kshs 1,500,000 and expected to get a closing balance of approximately Kshs 5,000,000 by the end of the third year.

EXERCUTIVE SUMMARY CHAPTER ONE This chapter contains business description, owner’s background information, business name, business location and address, form of ownership, type of business products and services, justification of opportunity, industry primary and secondary objectives of the business and entry and growth strategy. CHAPTER TWO Contains marketing plan, customers, market share/size competition level promotion and advertisement pricing strategy sales tactics and distribution strategy. CHAPTER THREE Contains organization/management plan other personnel recruitment training and promotion remuneration and incentives licenses permit and by laws support. CHAPTER FOUR This chapter contains production operation plan production facilities and capacity production process regulations offering operation. CHAPTER FIVE The chapter contains financial plan pre-operational costs operational costs cash flow statements pro-forma income statements trading and profit accounts balance sheets break even analysis desired business financing proposed business capitalization and profitability ratios. CHAPTER ONE BUSINESS DESCRIPTION 1.1 THE SPONSOR The sponsor of the business will be Lee Makori, living in Migori county and also a Kenyan citizen. Also is taking entrepreneurship as a unit where she has acquired knowledge in Entrepreneurship skills. The role of the sponsor is to ensure that there are enough funds to run the business. Roles and Responsibilities of a Sponsor She control all activities in an organization She gives reports on the organization In charge of public relationship and developing She is the major decision maker in an organ

Teenage pregnancy is a world disaster, and it has become a major concern to both developing and developed countries all over the world. Teenage pregnancy cases are very high in Kenya, and it seems to be increasing every day in our schools. It is a concern to all people in Kenya not leaving out politicians who have shown interest over it y coming out through media condemning the act of early pregnancy amongst our teenagers. Childbearing and early pregnancy is common in Kenya. Approximately 25 percent of Kenyan women give birth under the age of 18 years where ate this age children are still in schools and majorly secondary schools. The re-entry act of pregnant girls in the school system is also continuing to get criticized by society. Society discriminated pregnant girls in school and the young mothers who are back in school, for they say that they influence others in the act and promote teenage pregnancy in schools. This adolescent pregnancy continues everyday in schools because, after every school break, not less than three girls come back to school pregnant, so the question goes, who is responsible for these pregnancies? Are parents not watching over their children or schools should introduce another law that restricts girls in school? Therefore, this study is designed to investigate the impact of teenage pregnancy in the Nyacheki ward in Kisii County. A total sample of 50 respondents was used for the study. Questionnaire; observation and interview were used to collect data for the research. Looking at the effects often age pregnancy, it is clear that the girls face stigmatization, ridicule, and neglect from parents and teachers' abuse. The study also reveals that teenage pregnancy has a great effect on education and affects the girls' future and the economic development of a country. It also revealed that adolescent pregnancy also contributes to girls' poor performance in school and final exams. The study also showed that most underage mothers terminate their education for fear of shame, stigmatization, and ridicule from the school and society and being rated as ill-mannered children. The study also discover that the environment and media had a significant impact on early pregnancy among girl students in high schools. The study therefore suggests that teenage mothers should be given another chance in life. We should not judge them because others got it through rape and assault. They should be counselled by their guidance and counseling teacher to give them strength and hope of continuing with education and getting bright future. Counseling will also help in their job skills and psychosocial development that will help them after their schooling and life ahead.

Improved Economic Jiko offer a practical solution to many medical, environmental, social, and economic issues facing developing economies that still rely on solid wood fuels for cooking. This project presents the factors influencing the design and performance of an improved Economic Jiko for Meru markets and synthesizes these factors into a final concept. The research explores the potential impacts new Economic Jiko can have on a micro and macro scale, as well as the cultural and economic elements that need to be addressed in order to make any potential product marketable. Additionally, detailed are the physical principles that dictate clean and efficient Economic Jiko operation. The design presents the steps taken to evolve a project from ideation to final product in the Economic Jiko sector, including creating design objectives, concept generation, material selection, and engineering design. Ultimately this project not only seeks to create a particular solution for cooking in Meru markets, but also to offer an example for other design to follow when making products for developing countries.

ABSTRACT The aim of this study was to develop and test measure of health and hygiene, knowledge attitudes and behavior. A questionnaire was administered to 240 women 80 from a squatter camp, 80 from an informal settlement and 80 from a formal ownership. Reliability of the knowledge, attitude and behavior scales were significantly related(p<0.001). Factor analysis confirmed that domestic and personal hygiene were core components of the attitude scale, whereas the emphasis for behavior was personal hygiene. Stepwise regression showed that age explained 23% of the variance in knowledge and 18% in behavior. Waste management significantly Affected knowledge, attitudes and behavior, suggesting that dustbin ownership was an important public health measure. It was concluded that these scales were useful measures of health and hygiene knowledge, attitude and behavior provided programmes and could be used to evaluate the effectiveness of such programmes.