It outlines the history of the attachment institution, organization structure, institution core values, attachment objectives, attachment challenges an attachees undergo during attachment period. It also outlines the new skills learnt in attachment session. It provides recommendations and conclusions.

It outlines the history of the attachment institution, organization structure, institution core values, attachment objectives, attachment challenges an attachees undergo during attachment period. It also outlines the new skills learnt in attachment session. It provides recommendations and conclusions.

The Digestive System Consists of ; a) Long hollow muscular tube or canal or tract called gastrointestinal tract or (GIT): • it is about 5 meters long b) Accessory glands: include: • Salivary glands • Liver and gall bladder • Pancreas

Employee turnover is a vital element in the survival and success of an organization and should be considered when developing strategies and business plans to ensure a competent and skilled workforce that delivers the organizational objectives and goals. The departure of key employee can have a drastic impact on the efficiency of the organization. The Assessment of employee turnover and their effect on organizational efficiency at Keroka Technical Training Institute is a complex area of study. Numerous studies have been published about employee turnover and job satisfaction however there is a paucity of information in literature about the Assessment of employee turnover and its effect on organizational efficiency at Keroka Technical Training Institute. With rising globalization, accelerated use of technology and pressure to innovate and remain competitive in the Kenyan sector, it is becoming increasingly important for Keroka Technical Training Institute to attract and retain rich human capital. The study is guided by the following objectives; to determine the extent to which management styles contributes to employee turnover; to establish the role of work environment as a contributing factor to employee turnover and to evaluate the extent to which reward management contributes to employee turnover. The findings indicate that management styles, the work environment and reward management play a key role in employee turnover at Keroka Technical Training Institute. Employee turnover affects organizational efficiency by touching on all the four perspectives of the Balance Scorecard; customer, financial, internal Management process and learning and growth. The highlighted recommendation is that Keroka Technical Training Institute must regularly conduct employee-manager reviews and provide feedback, must align the working environment with the changing, dynamic and culturally diverse workplace, there is need to have employee friendly policies and procedures that provide an enabling environment that allows creativity and innovation. Finally, reward packages should be more favorable and in line with employee needs and the organization should establish modern retention strategies to enhance retention.

Disorders of the digestive system have serious consequences for the activity of the organism as a whole congenital malformations traumatic processes inflammatory processes neoplastic processes infectious processes Digestive system communicates with the external environment through the intake of fluids and food. Common git disorders • Motor dysfunction of smooth muscle of the individual parts of the digestive system • Indigestion of food and absorption of nutrients - malabsorption syndrome • Bleeding into the individual parts of the digestive tract • Perforation of the wall of the digestive system with subsequent leakage of the contents to the peritoneal cavity • Obstruction in moving of the contents of one part of the digestive system to the next section • Circulation disorders in the wall of the individual parts of the digestive system

Gastric or stomach cancer is a disease in which malignant (cancer) cells form in the lining of the stomach. Gastric cancer is the fifth most frequently diagnosed cancer and the third leading cause of cancer deaths worldwide. (Globocan 2018,Babiker,2021)

Gekomu SDA church has a large number of Christians who attend church congregation. These methods of maintaining records have not been efficient enough especially during mode of operation when most of the attending the church because the population is increasing. The process of with the use of questionnaires, interviews, observation and document reviews, data was collected from project stakeholders and analyzed. Data flow diagrams and Entity relationship diagrams were used to accomplish system analysis and design. The system was implemented using Apache web server, Mysql database server, Hypertext Preprocessor, Hypertext markup language, Cascading style sheets and JavaScript. System testing and validation was also done by allowing users of the system interact with it using test data. Findings showed that most of the church clerk is unsatisfied with the current modes of keeping to the church I agree that achurch management system can improve the process record management. The result of the project was an online church management system for Gekomu SDA Church) and researchers recommend the church to implement the system that provides relief of the long endured problems of the current modes of payment at the church

Definition: This describes the Impaction of the anterior shoulder against the symphysis pubis after delivery of the fetal head. Shoulder dystocia is said to have occurred when there is: • Failure of the shoulders to rotate spontaneously into anterior, posterior diameter of the pelvis outlet after delivery of the head • The anterior shoulder becomes trapped behind or on the symphysis pubis while the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory

Domiciliary Care It’s the care given to a pregnant woman by a midwife at her home environment, embracing prenatal, Intranatal and postpartum management.

There has been a recent push to replace the burning of fossil fuels with biomass. The replacement of this non renewable resources with biological waste would lower the overall pollution of the world. The waste biomass like dry leaves, sawdust, rice husk, coffee husk etc. are gathered and compressed into briquettes, these briquettes can also be transported and used as fuel to generate heat. It is high time to take initiative to turn Biomass into a source of energy. Hence here we take responsibility in converting agricultural and forestry waste into useful biomass briquettes, which can also be used as a substitute for Coal. There is different machine available in market but those machine are bulky and are costly, hence here we developed a portable, low cost biomass machine, which makes use of simple mechanism to convert the biological waste into useful briquette. Any waste or any proportion can be used but with proper binding agent. Some raw material does not require any binding agent if we use high pressure compression. The paper presents the results of a project focused on the development of briquettes from the waste wood (sawdust) resulting from the main waste from timber companies. This waste wood currently lacks a useful purpose, and its indiscriminate burning generates CO and CO2 emissions. Sawmill waste is a big problem especially in urban cities. These wastes are burnt openly which is causing environmental pollution. The wastes can be converted to wealth thereby providing jobs for many unemployed citizens. The principles of machine design were employed to design the essential parts such as hopper, sliding member, cylinder and grinding unit. There has been a recent push to replace the burning of fossil fuels with biomass. The replacement of this non renewable resources with biological waste would lower the overall pollution of the world. The waste biomass like dry leaves, sawdust, rice husk, coffee husk etc. are gathered and compressed into briquettes, these briquettes can also be transported and used as fuel to generate heat. It is high time to take initiative to turn Biomass into a source of energy. Hence here we take responsibility in converting agricultural and forestry waste into useful biomass briquettes, which can also be used as a substitute for Coal. There is different machine available in market but those machine are bulky and are costly, hence here we developed a portable, low cost biomass machine, which makes use of simple mechanism to convert the biological waste into useful briquette. Any waste or any proportion can be used but with proper binding agent. Some raw material does not require any binding agent if we use high pressure compression. The paper presents the results of a project focused on the development of briquettes from the waste wood (sawdust) resulting from the main waste from timber companies. This waste wood currently lacks a useful purpose, and its indiscriminate burning generates CO and CO2 emissions. Sawmill waste is a big problem especially in urban cities. These wastes are burnt openly which is causing environmental pollution. The wastes can be converted to wealth thereby providing jobs for many unemployed citizens. The principles of machine design were employed to design the essential parts such as hopper, sliding member, cylinder and grinding unit.

INTEGRATED MANAGEMENT OF NEWBORN AND CHILDHOOD ILLNESS INTRODUCTION(IMNCI ) • A systematic approach with interventions that focuses on the health, growth and development of children under five years of àge • Indicates strategies that were developed by UNICEF, WHO, and MOH to reduce preventable disability, mortality and morbidity rates in children under five years of age. • Strategies include preventable measures on the part of families and communities as well as curative actions to be taken by health workers and health facilities

This is a business plan of running a egg depot shop EXECUTIVE SUMMARY CHAPTER ONE Chapter one contains the business describes whereby you describe the nature and management structure of the business, the owners background, the business name, the business location and address, form of ownership, type of business, products and services offered, justification of opportunity, the industry, primary and secondary objectives of the business and the entry and growth strategy. CHAPTER TWO Chapter two contains the following; marketing plan and it holds the type of customers, the market share or size, the competition level with others carrying out the same business, a swot analysis table, promotion and advertisement, methods of advertisement, the pricing strategy, the sales tactics and the distribution strategy. CHAPTER THREEE Chapter three contains the organization plan whereby you describe the management team and draw the organization chart, describe the qualities of the manager and the assistant manager, recruitment, training and promotion, you describe the remuneration policy and the incentives, the license, permit and by-laws and the support services offered. CHAPTER FOUR Chapter four contains the product operation plan that holds the production facilities and capacity, business layout, production strategy, production process, the regulations affecting the operation- health regulations, safety regulations and environmental regulation process. CHAPTER FIVEChapter five contains the financial plan, pre-operational costs working capital, cash flow statement for the two years, the preform income statement, the balance sheets, the break-even analysis for the business, the desired business financing, proposed business organization and the profitability ratios.

This is a business plan of running a timberyard EXECUTIVE SUMMARY CHAPTER ONE Chapter one contains the business describes whereby you describe the nature and management structure of the business, the owners background, the business name, the business location and address, form of ownership, type of business, products and services offered, justification of opportunity, the industry, primary and secondary objectives of the business and the entry and growth strategy. CHAPTER TWO Chapter two contains the following; marketing plan and it holds the type of customers, the market share or size, the competition level with others carrying out the same business, a swot analysis table, promotion and advertisement, methods of advertisement, the pricing strategy, the sales tactics and the distribution strategy. CHAPTER THREEE Chapter three contains the organization plan whereby you describe the management team and draw the organization chart, describe the qualities of the manager and the assistant manager, recruitment, training and promotion, you describe the remuneration policy and the incentives, the license, permit and by-laws and the support services offered. CHAPTER FOUR Chapter four contains the product operation plan that holds the production facilities and capacity, business layout, production strategy, production process, the regulations affecting the operation- health regulations, safety regulations and environmental regulation process. CHAPTER FIVEChapter five contains the financial plan, pre-operational costs working capital, cash flow statement for the two years, the preform income statement, the balance sheets, the break-even analysis for the business, the desired business financing, proposed business organization and the profitability ratios.

The Savings and Credit Cooperative Societies (SACCOS) are financial co-operatives that aim at meeting the financial needs of all members men/women, old/young, rich/poor in particular, by encouraging savings and granting loans to the members. It belongs to its members who manage it democratically. They play important role in socio-economic development of members and communities in general as SACCOS enable easy access to financial services to people, encourage savings, create employment opportunities, support directly community development effort like helping community access to social services, stimulate growth of business, and improve members’ income as well as living conditions. If SACCOs are managed properly, it becomes possible to play such social and economic roles to the members and have spiral effects to the community development process. As a result, they will be able to achieve the social and economic expectations of members. However for some SACCOS as they proceed with their operations, they face various obstacles which prevent them from fulfilling the visions/expectations that people (members) and community at large. Therefore the aim of this paper was to analyse the internal and external factors that hinder SACCOS to achieve the expectations of their members. The descriptive design was used and the data used were mostly secondary being collected from various already documented reports, papers, researches and journals, and in some circumstances, primary data were used. The approach used in describing the findings was mostly qualitative. The paper revealed that the factors preventing SACCOS to meet members’ expectations are both internal and external. Internal factors are like; financial constraints, poor loan recovery, governance problems, lack of common interests, high interest rates on loans by some SACCOS, weak leadership and institutional capacity, uninformed membership, inadequate education and training, limited range of financial products and poor quality services, poor accounting and record keeping, misuse of funds and non adherence to co-operative principles. The internal factors identified include; competition, negative impacts of external financing, weak assistance form SACCOS supporting institutions, insufficient auditing and inspection, political interference and excessive donor dependency. It was recommended that to overcome these challenges and meet members’ expectations, there is a need to; promote SACCOS good governance practices, provide education and training, diversifying sources, increasing capacity and number of co-operative banks, ensure proper financial management and better accounting practices, keeping records properly and networking of the SACCOS.

Rational use of medications in neonates depends on an appreciation of the physiologic immaturity and developmental maturation that influence neonatal drug disposition. Have altered body composition, weight, size and physiologic parameters.

Inflammation is mediated by prostaglandins • The treatment of inflammation involves two primary goals: First, the relief of symptoms and the maintenance of function; and second, the slowing or arrest of the tissue-damaging process. • Salicylates and other similar agents share the capacity to suppress the signs and symptoms of inflammation. • They also exert antipyretic and analgesic effects.

Anti-infective agents are drugs designed to target foreign organisms that have invaded and infected the body of a human host. The goal of anti-infective agents is to interfere with the normal function of the invading organism to prevent it from reproducing and to cause cell death without affecting host cells

All cancers start with a single cell that is genetically different (mutated). This cell divides, eventually producing a tumor or neoplasm that has characteristics quite different from those of the original tissue. • Cancer cells lose their normal function (anaplasia), develop characteristics that allow them to grow in an uninhibited way (autonomy), and have the ability to travel to other sites in the body that are conducive to their growth (metastasis).

Insulin is the hormone produced by the pancreatic beta cells of the islets of Langerhans. • The hormone is released into circulation when the levels of glucose around these cells rise • Insulin is released from pancreatic beta cells at a low basal rate and at a much higher stimulated rate in response to a variety of stimuli, especially glucose. • The liver and kidney are the two main organs that remove insulin from the circulation

An antifungal agent is a drug that selectively eliminates fungal pathogens from a host with minimal toxicity to the host. Fungi can be found throughout the world in all kinds of environments. Most fungi don’t cause disease in people. However, some species can infect humans and cause illness. While most fungal infections affect areas such as the skin and nails, some can lead to more serious and potentially life threatening conditions like meningitis or pneumonia. There are several types of antifungal drugs available to fight fungal infections.