Plan Implementation in Teaching-Learning Observations: Management Implications for Diagnostic Supervision of Secondary Schools in Calabar, Nigeria (Published)
Instructional leadership may affect much innovation only if plan implementation can be properly monitored for improved educational outcomes and expectations. Therefore, this study explored plan implementation in Teaching-Learning Observations (TLOs) and its implications for diagnostic supervision of secondary schools in Calabar, Nigeria. The justification of this study was to determine the power of prediction of instructional plan design and plan monitoring on qualitative teacher education programme for professionalism. A descriptive survey design study was adopted with two research hypotheses to guide the investigation. A stratified random sampling technique was used to select 200 teachers out of 590 teachers. Data was collected using researcher designed questionnaire. Percentages, population t-test and multiple regression analysis were applied to statistically analyze data collected. Results obtained revealed that instructional plan implementation could determine the magnitude of teaching-learning observations in the secondary schools studied. It was concluded that proper plan design and plan monitoring were critical conditions which could guarantee better educational outcomes and professionalism. It was recommended that participatory effort should be encouraged among teachers to maintain critical path of quality instructional service delivery for the achievement of diagnostic supervision.
The objective of this paper is to assess the diagnostic accuracy of pain on travelling over speed bumps for the diagnosis of acute appendicitis. Presence of pain while traveling over speed bumps was associated with an increased likelihood of acute appendicitis. As a diagnostic variable, it compared favorably with other features commonly used in clinical assessment. Asking about speed bumps may contribute to clinical assessment and could be useful in telephone assessment of patients. Rapid diagnosis and treatment are the key factors in successful outcomes in acute appendicitis. Delayed surgical intervention risks appendiceal perforation, which can lead to peritonitis, sepsis, and even death. Unfortunately, as many as 20% of appendectomies reveal a normal appendix, a negative rate associated with considerable morbidity and cost, the authors noted. Design Prospective questionnaire based diagnostic accuracy study. Setting surgical department of AL Karama teaching hospital /IRAQ – AL Kut city. Participants 104 patients aged 16-65 years referred to surgical team for assessment of possible appendicitis. Main outcome measures Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios for pain over speed bumps in diagnosing appendicitis, with histological diagnosis of appendicitis as the reference standard.