Introduction: Pain is considered as the fifth vital sign that should be considered in assessing patients. For clinicians to evaluate and determine the right pain interventions, there should be parameters such as pain scale. Our objective in this study is to determine factors affecting pain scale preferences in suburban and rural populations. The pain scales used in this study are FPS-R (Faces Pain Scale-Revised), VRS (Verbal Rating Scale), VAS (Visual Analogue Scale), and NRS (Numering Rating Scale). Method: This study uses observational design with an interview approach and a cross-sectional study. Areas covered are within Indonesia, which are marginal areas of Tangerang district border, and two rural areas in Serukam, West Kalimantan, and Soe, East Nusa Tenggara. Data collected will be analyzed using SPSS 25 software. Result: Populations within the suburban areas prefer NRS (52.08%) as their pain scale, and populations in rural areas prefer FPS-R 76.92%). Factors affecting pain scale preferences are location areas, as well as last education, with statistical significance of p<0.05. Discussion: Our study showed that the choice of several pain scales is not appropriate for specific demographics due to the complexity of these scales. Factors that should be considered are the location areas and education level, as some population in remote areas have better understanding of simpler pain scales. Conclusion: Complexity or simpler components may be an underlying reason for the preference of score selection to assess pain scales in some population. Therefore, the selection of pain scales should be adjusted to specific demographics so that clinicians can provide appropriate management with appropriate pain scales.

Hypertension remains a leading cause of cardiovascular morbidity and mortality. Although effective antihypertensive therapies are available, sustained blood pressure control remains suboptimal due to inconsistent medication use. Most adherence research is quantitative and offers limited understanding of how individuals interpret lifelong treatment within daily life, particularly in culturally grounded contexts. To explore the lived experiences of Filipino adults taking antihypertensive medication. A qualitative study grounded in Heideggerian interpretive phenomenology was conducted. Ten Filipino adults diagnosed with hypertension were purposively recruited from outpatient clinics in Manila, Philippines. In-depth semi-structured interviews were transcribed verbatim and analyzed using the six-step IPA framework. Analysis revealed six interconnected themes describing how participants interpreted and sustained medication use: (1) Diagnosis as Disruption; (2) Medication as Protection and Responsibility; (3) The Paradox of the Silent Illness; (4) Everyday Barriers to Sustained Treatment; (5) Constructing Routine and Adaptive Self-Management; and (6) Family as Anchor within Cultural Contexts. These themes reflected emotional adjustment, symptom-driven adherence, financial and work-related barriers, adaptive coping strategies, and strong family-centered motivation. Medication-taking was experienced as an ongoing negotiation shaped by bodily cues, daily demands, and relational obligations. Conclusion: Antihypertensive medication use is shaped by relational, cultural, and socioeconomic contexts, underscoring the need for family-inclusive and culturally responsive hypertension care.

Background: Maternal nutrition plays a crucial role in fetal brain development, with vitamin B12 being essential for neuronal myelination and cognitive function. The paper by Hrezova et al. entitled “Vitamin B12 Intake During Pregnancy Linked to Child Speech Development and Intelligence Quotient”, examines the association between maternal B12 intake and early childhood neurodevelopment. Methods: Using data from 5,151 mother-child pairs in the ELSPAC-CZ cohort, maternal B12 intake was assessed through dietary questionnaires, and child cognitive outcomes were evaluated at 18 months, 3 years, and 8 years. Multivariate adjustments were applied to control for potential confounders. Results: The research reports that higher maternal B12 intake was positively associated with improved language comprehension at 18 months (B=0.20,95% CI 0.06,0.34) and increased verbal IQ at 8 years (B=1.08,95% CI 0.09,2.08). However, no significant relationship was observed between maternal B12 intake and speech intelligibility at age 3 (OR=1.03,95% CI 0.99,1.07). Findings suggest B12’s role in early cognitive development but highlight gaps in its long-term effects. Conclusions: Ensuring adequate maternal B12 intake is vital for optimizing early neurodevelopment. Public health initiatives should promote B12 supplementation, especially for pregnant women at risk of deficiency. Further research with objective biomarkers is needed to clarify long-term effects.

This study addressed the frequency of occurrence of the epistemic modal elements that the Ex-president prefers to express in the selected State of the Nation Addresses of Ghana. The study adopted a qualitative approach. Purposively, the two addresses selected for the study are State of the Nation Address: 16th February 2001 and State of the Nation Address: 14th February 2008. The selected addresses are a good starting point for determining tendencies in the meaning expressed by the selected modal categories. The focus is on the semantics of the epistemic category of modality and other related variables within the contexts in which they are used. The data were analysed based on specific epistemic modal meanings and the modal elements expressed. It was observed that there were more expressions of certainty during the 2008 State of the Nation Address than the first one delivered by the Ex-president. Additionally, it is observed that the selection of a particular modal element in a particular context is primarily influenced by the interplay of the speaker and the participants involved. Therefore, an epistemic modal element used in a different linguistic environment may have a different contextual meaning from another. The lower expressions of uncertainty during the last State of the Nation, which ended the tenure of office of the ex-president, show that he was sure he had performed well and was bold enough to make categorical statements. The study exhibited some occurrences of expression of tentativeness with the use of modal verbs alone. All the categories recorded any instance of tentativeness. It is also recommended that politicians, spokespersons, and speech writers be cautious when indicating their information sources and how they obtain them. This helps maintain political credibility, which is the dominant index of the electorate's quest for people who know the conditions and problems prevailing in the country and their solutions.

Qualitatively, the study adopted a case research design. The population of this study comprised the last batch of Diploma in Basic Education (DBE) and the current first-year students of the new programme (Bachelor in Basic Education) of Mount Mary College of Education. Simple random and stratified sampling techniques were used to select 15 long essays from the final year, while 30 assignments were chosen from the first year. Nine (9) long essays from the English language, five (5) essays from Social Studies and one (1) essay from Mathematics. The main tools used for the study were students' assignment items and copies of long essays. Through an interpretative lens, the data were analysed into themes. The data and the analysis largely showed that students employed different kinds of modal verbs in their writing, including complete and periphrastic modal verbs. There was evidence that students have used these modal verbs in different ways that sometimes affected the intended meaning. These inappropriate choices are evident in both written texts and oral presentations. Findings showed that students employed modal verbs indiscriminately with little attention to contexts. It would be recommended that language teachers deal with the issue by giving written feedback on the use of modal verbs to students in their texts anytime they are given assignments.

This research has deeply examined the linguistic and rhetorical features of proverbs in Arabic language and literature. By comprehensively addressing the grammatical structures, narrative techniques and rhetorical features of the parables, the study has shown how impressive and instructive these elements are. The research also analyzed the role of parables in contemporary Arabic literature and how they approach modern social and cultural issues. The findings revealed the rich and diverse effects of parables on language and rhetoric, indicating that Arabic parables are powerful and effective literary tools in both historical and contemporary contexts. Additionally, the place of parables in contemporary Arabic literature, how this literary genre approaches social and cultural issues, and the effects of these approaches on society are detailed. In conclusion, this study highlights the effects of Arabic parables on language and rhetoric and how this literary form has evolved in modern times and its role in social communication. For future studies, it is recommended to conduct comparative analyzes with a wider range of texts and in various geographical and historical contexts. This will better reflect the cultural and historical diversity of Arabic parables and allow us to delve more deeply into the effects of modern technology and media.

This study aimed to evaluate the Social Studies Curriculum for Senior High Schools in Ghana to determine whether the subject has attained its goal(s) or not, using Stake’s Countenance Evaluation Model. The study took place in the Asante Akim North District. The population for study were all Social Studies teachers and students in the district. The multi-stage sampling technique was adopted for the study and the sample size was 120, made up of 100 students and 20 teachers. The concurrent mixed method approach was adopted. The main instruments used for collecting data were questionnaires, interviews (focus group and unstructured interview), observation and documentary analysis. Quantitative data were tabulated, organised, analysed and interpreted to draw sound conclusions and generalisations. The data were presented in the form of tables and percentages. Words were used to interpret the tables and percentages for easy understanding. The qualitative data responses were described and explained in the form of themes. Sometimes responses were quoted verbatim to authenticate claims made. The study looked at the congruence between what was intended to occur and what was observed before and during the implementation of the curriculum in the Asante Akim North District. On the transactions, it was revealed that teachers in the district communicate the problem the topic seeks to address and the specific objectives to the learners during instruction. Also, teachers varied their teaching methods, techniques and strategies. However, teachers failed to take students out on field trips. Also, they failed to use video documentaries to deliver their lessons inhibiting students’ creativity as they are denied the opportunity to explore and get first-hand information to build up knowledge and develop the needed attitudes and values. From the findings, it is therefore recommended that the National Council for Curriculum and Assessment should increase the time allotted to the teaching of Social Studies at the SHS level from 3-periods of 40 minutes a week to 5-periods of 40 minutes a week to give teachers and learners ample time to discuss, debate, digest and solve problems during instructional hours to enable the goal of the subject attained.

The primary role of indigenous moral education is to inculcate positive attitudes, moral norms, ideals and virtues such as honesty, kindness, compassion, respect for others, and a sense of a common good. In a Ghanaian traditional society’s perspective, the morality of a person is judged according to his or her character. This position paper discusses the relevance of indigenous moral education and its relevance in contemporary Akwamu Traditional society in the Eastern Region of Ghana. The sources of indigenous moral education among the people of Akwamu society are proverbs, taboos, naming, puberty and marriage rites. The indigenous moral education provides moral values such as respect for authority, truthfulness, loyalty, obedience, tolerance, chastity and godliness to members of the Akwamu community. Besides the foregoing, the indigenous moral education systems, such as proverbs and puberty rites have outlived their usefulness in recent times among the Akwamus as a result of modernity which has introduced an alternative means of initiating young girls into adulthood. It is also important to note that even though some of the indigenous moral education systems have outlived their usefulness in contemporary times, the surviving ones should be incorporated into the modern moral education system so that the cultural identity of the people is preserved.

The purpose of this study was to examine the empirical analysis of lexico-grammatical features used in the rhetorical structure of the Statement of the Research Problems of Master of Philosophy theses in the Faculties of Arts and Education at the University of Cape Coast, Ghana. Qualitatively, content analysis was adopted for this study. Theses from the Faculty of Arts and the Faculty of Education at the University of Cape Coast were selected for this study. These theses were selected from 2012 to 2022 academic years to ensure currency in terms of the stipulated lexico-grammatical features used in the statement of the research problem. Purposive and simple random sampling techniques were used to select the university, two faculties (Faculty of Arts and Faculty of Education) and postgraduate theses for the study. The two faculties were purposively sampled. Eighty (80) theses were simple randomly sampled (Forty (40) theses each from the Faculty of Arts and the Faculty of Education). The main instrument used for data collection was content analysis. The data was analysed by the use of the interpretative technique based on the themes arrived at during the data collection of the statement of research problem from the post-graduate theses. The study indicated that integral citation was dominant in SRPs from the Faculty of Arts theses whereas non-integral citations were rather dominant in SRPs from the Faculty of Education theses. The use of adverbials to boost these claims was also found in only the SRPs from the Faculty of Arts theses. The use of hedging devices in SRPs from both Faculties to indicate a gap, and the use of simple noun phrases such as “the problem” and “the need” were mostly used to categorically state the research problem. It is recommended that a comparative study of theses in the two faculties in another university in Ghana be undertaken to identify how similar or otherwise the rhetorical structure and the lexico-grammatical features of the SRPs written by postgraduate students in the two faculties will be.

Qualitatively, the study adopted a content analysis approach. There were eight State of the Nation addresses that the Ex-President John Kufour delivered during his tenure of office but only two of them are analysed in this study. The purposive sampling approach was used to select two State of the Nation addresses samples. The State of the Nation addresses of two years were picked for the study. The years are: 16^th February 2001, and 14^th February 2008. The qualitative data was analysed by the use of the interpretative technique based on the themes arrived at during the content analysis of the two speeches delivered by ex-president Kufour. Selective coding was used to code the occurrence of the categories of the epistemic modality expressions in the data. The epistemic modal elements as well as the sentences in which they occurred were then manually copied for further verification. These processes made the frequency count faster, more effective and more accurate. The data shows the relevant clauses or sentences containing modal expressions sampled within the contexts of epistemic meanings in the texts. The study has made it apparent that the expression of certainty is predominant. The data also indicates that the Ex-president has a greater tendency to use more modal adjuncts followed by the other modal auxiliary verb categories in expressing certainty in the selected State of the Nation Addresses during his State of the Nation Addresses. One question that arises is, why the Ex-president had a greater tendency to express more certainty in his State of the Nation Addresses. The answer is that Ex-president was fully sure and convinced of the information on the nation’s development and future programmes captured in the addresses. Thus, he appeared a confident, trustworthy and knowledgeable leader. Furthermore, the use of epistemic modality in the State of the Nation Addresses is neither haphazard nor coincidental. Instead, it is informed by reason of specific communicative intent. It is recommended that Public speakers and politicians should take the epistemic markers into consideration when writing the State of the Nation Address or any other texts in order to clarify shared opinion. It is also recommended that the Faculty of Language of the University of Education of Winneba should consider the concept of epistemic modality as a course of study in all various Language Departments including the Department of Communication Skills.

Tobacco use, especially smoking, poses an enormous threat to public health. Research indicates tobacco use is linked to many illnesses and premature death. It also has unhealthy consequences in non-smokers through second-hand exposure. Primary care clinicians have the “golden opportunities” to intervene during office visit encounters. This study examined the use of an iPad educational application in tobacco cessation counseling that would increase acceptance of a prescription to aid with cessation, compared to the traditional method of counseling only. Utilizing smoking cessation guidelines, a descriptive quantitative exploratory methodology was used in two phases to assess the effectiveness of tobacco cessation education in a traditional verbal counseling versus the additional use of a mobile application along with standard tobacco cessation counseling in a primary care clinical setting. Total of 49 participants were recruited in two different groups. The standard cessation counseling had 29 subjects for Phase I and 20 participants in the enhanced tobacco cessation education group in Phase II. The enhanced tobacco cessation education with an iPad was more effective in smoking education than the traditional standard verbal counseling on smoking cessation. The addition of a mobile device with relevant educational materials shared with smokers by clinicians have shown an increase in acceptance of a prescription to aid tobacco cessation. Clinicians are strongly encouraged to find innovative ways to help smoking patients accept aids in successful cessation attempts.

This paper addresses the labial-palatalization process in Akuapem, a dialect of Akan. In this paper, we study the labial-palatalization, and the tonal processes related to the verbal prefix bɛ when cliticized to reduplicative verbs in the Akuapem dialect of Akan. Based on labial-palatalization, it is not all the Akuapem dialect that labial-palatalizes a C in a CUa/e string that triggers the labial-palatalization process. The study also concluded that when the verbal prefix or the modal marker bɛ is cliticized to reduplicated class I verbs, all the reduplicant and the base form of the verb assume different tonal melody in all the sub-dialect of Akuapem.

The study aimed at examining farmers’ perceptions on the impacts of climate change on food crops and the farming practices that contribute to climate change (CC) in Bibiani – Ahwiaso – Bekwai municipality of Western North Region of Ghana. Qualitative and quantitative methods were used for this study. The population of the study consisted of the number of households in six communities (Hwenampori, Wenchi, Tanoso, Awaso-Asempanaye, Kunkumso, and Sefwi Bekwai), officials from MoFA, GMA, and heads of households who are food crop farmers from the study area. Simple random and purposive sampling techniques were used to select respondents for the study. 231 respondents were selected and contacted for information to aid them in the study. The main instruments for data collection were the administration of questionnaires to farmers, organization of focus group discussions with key informants, the use of structured interview guides on MoFA directorates and direct observation of some farms. The primary and secondary data were sourced mainly from household heads from the study communities who are in the production of maize, cassava, and plantain. Pearson Chi-Square and Cross-tabulation of the IBM SPSS Version 20 were also used in performing descriptive statistical analysis. The study revealed that the output of maize, cassava, and plantain have all proved to be negatively impacted by changes in rainfall and temperature patterns with a more significant impact observed from maize responses to temperature. The study also indicated that the impact of climate change may affect the crops at any stage of the production process right from the land preparation to the maturity stage of crops but the more profound effect is observed at fruit development and maturation stages. The study indicated that changes in temperature affect crop yield, especially during the fruit/seed development stage. The study revealed that most farmers (about 92.2%) have observed climate change in the study area and indicated events like unpredictable rainfall patterns, excessively high temperatures and strong winds. It is recommended that capacity building and awareness creation should be enhanced by GMA and MoFA through the media to ensure that communication about climate change and food security is meaningful. This means that education on diversification of farming methods has not been enough if there is any at all in the area. Awareness creation, therefore, allows people to make informed and responsible decisions toward sustainable farming practices which will lead to food security and also environmental sustainability.