South Eastern European Journal of Public Health (SEEJPH - Universität Bielefeld)
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Objective And Subjective Outcome Measures in Conventional Curettage Adenoidectomy vs Endoscopic Guided Microdebrider Assisted Adenoidectomy – A Prospective Randomised Single Blind Study
Full text linkAdenoid hypertrophy is a common disease in the community. Adenoidectomy is the definite way of managing the disease, and it is one of the most common surgeries performed in the day-to-day practice of ENT surgeons. This study evaluated the merits and demerits of the conventional curettage method with the microdebrider-assisted adenoidectomy. This single-blinded randomized controlled trial was undertaken to study the Objective and Subjective outcome measures in conventional curettage adenoidectomy versus endoscopic guided microdebrider-assisted adenoidectomy. All the patients were divided equally into two groups based on simple random sampling numbers generated by computer. All the patients in Group A were subjected to adenoidectomy by conventional curettage method with the help of St. Clair Thomson adenoid curette and the patients in Group B were subjected to adenoidectomy with the help of the endoscopic guided microdebrider assisted adenoidectomy.All the patients were evaluated and compared between the two groups for the amount of blood loss occurring during the surgery, the operative time between the procedures, the presence of the residual tissues in the nasopharynx after the procedure, the recovery time, development of the intraoperative and the postoperative complications, comparison of the pain score on the first and seventh postoperative day between the two groups and the presence of the residual symptoms in the follow-up period. Although the microdebrider group is associated with increased bleeding during surgery and increased intraoperative time, it is associated with decreased intraoperative post operative complications, fewer residual tissues and improvement of the symptoms in the post operative period compared with the conventional curettage method. Microdebrider-assisted adenoidectomy has proven its importance by complete tissue clearance at the expense of increased bleeding and operative time
"REVOLUTIONIZING HUMAN RESOURCE MANAGEMENT: A COMPREHENSIVE ANALYSIS OF AI TOOLS FOR RECRUITMENT, EMPLOYEE ENGAGEMENT, AND PERFORMANCE MANAGEMENT"
Full text linkThe integration of artificial intelligence (AI) in Human Resource Management (HRM) is transforming the methods by which firms attract, engage, and oversee talent. AI solutions have become essential in optimizing recruitment procedures, augmenting employee engagement, and refining performance management. This research seeks to establish a systematic framework for HR professionals by identifying, categorizing, and analyzing AI solutions according to their functions and pricing structures. The research examines three essential HR functions—recruitment, employee engagement, and performance management—and categorizes AI products into Free and Paid classifications. A thorough methodology was utilized, incorporating secondary data acquisition from credible industry papers, scholarly literature, and digital sites. The results provide a classified inventory of AI technologies, accompanied by comprehensive descriptions of their uses in particular HR activities. The paper addresses significant difficulties in AI adoption, such as financial constraints, the necessity for technical competence, and ethical issues related to data protection and algorithmic bias. The research finishes by highlighting the revolutionary potential of AI in HRM and providing actionable tips for HR professionals and educators to effectively integrate these tools. This paper offers a significant contribution to the developing domain of AI-driven human resource management, emphasizing the necessity for ongoing research into cost-efficient solutions and ethical governance structures
COMPARISON OF FUNCTIONAL OUTCOME BETWEEN NEUTRAL WITH RESIDUAL MILD CORONAL ALIGNMENT POST PRIMARY TOTAL KNEE ARTHROPLASTY: THREE YEARS FOLLOW-UP IN MAKASSAR, SOUTH SULAWESI
Full text linkIntroduction: Total Knee Arthroplasty (TKA) is an orthopedic procedure that replaces a damaged knee joint with an artificial prosthesis to reduce pain and restore knee function. Neutral coronal alignment post-TKA is often considered a standard of success, although some studies suggest that mild residual coronal alignment might provide better clinical outcomes. This study aims to compare the clinical functional outcomes between neutral coronal alignment and mild residual coronal alignment in patients post-TKA after a three-year follow-up in Makassar, South Sulawesi.Method: This research is a prospective observational study conducted at RSUP Wahidin Sudirohusodo, Makassar, involving patients with grade III or IV knee osteoarthritis who underwent TKA from January to December 2020. Samples were taken through consecutive sampling and included patients over 40 years old with either neutral coronal alignment or mild residual coronal alignment post-surgery. Clinical functional outcomes were measured using The Knee Society Score: Short Form and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score list.Results: This study utilized the Short Form Knee Society Score (SF-KSS) to evaluate total knee arthroplasty, along with The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score list, where a p-value > 0.05 was found, indicating no significant difference.Conclusion: There were no notable differences in clinical functional outcomes between the neutral and mild residual mechanical alignment groups. This can serve as a reference in performing total knee arthroplasty, allowing surgeons to preserve more tissue structures and bone to achieve mild residual alignment rather than performing aggressive releases to achieve neutral alignment
A REVIEW ON THE PHYTOCHEMISTRY AND PHARMACOLOGICAL ACTIVITIES OF GLORIOSA SUPERBA & SOLANUM TRILOBATUM
Full text linkPlant-derived bioactive chemicals may treat cancer and cardiovascular disease. This review examines Gloriosa superba, the glory lily, and Solanum trilobatum, a therapeutic herb. Gloriosa superba is a potential cancer treatment because it has a wide range of phytochemicals, mostly alkaloids, and anticancer, anti-inflammatory, and antioxidant properties. Its various plant parts are traditionally used to address ailments ranging from skin conditions to inflammatory disorders and even as an abortifacient due to the presence of colchicine. Similar to this, Solanum trilobatum is considered valuable in traditional medicine for its ability to effectively cure respiratory conditions. Numerous therapeutic advantages, including cytotoxic and anti-inflammatory properties, have also been demonstrated. This review provides a comprehensive understanding of both plants\u27 medicinal potential and applications in modern medicine by arranging their botanical descriptions, traditional usage, phytochemical compositions, and pharmacological activity. The findings underscore the importance of exploring these plants further for developing novel therapeutic agents
HEALTHCARE FINANCING: THE NEXUS BETWEEN ENTREPRENEURIAL SUPPLY CHAIN PRACTICES AND PERFORMANCE OF PUBLIC HOSPITALS IN KENYA
Full text linkThe Vision 2030 development blueprint aspires to promote good health and well-being to all Kenyans. To support this, the Government of Kenya has instituted various reforms aimed at achieving good health. However, despite these reforms, there exists poor performance in the public hospitals in Kenya. To ensure effective, efficient, financially viable, and relevant service delivery, the entrepreneurial supply chain is critical, in public hospitals. Therefore, the study focused on Entrepreneurial Supply Chain practices, healthcare financing, and the performance of public hospitals in Kenya. Specifically, the study investigated the effect of innovative inventory management on the performance of public hospitals in Kenya, the influence of proactive strategic sourcing on the performance of public hospitals in Kenya, and the effect of risk-taking on the performance of public hospitals in Kenya. The study also sought to establish the moderating effect of healthcare financing on the relationship between entrepreneurial supply chain practices and the performance of public hospitals in Kenya. The study was guided by resource orchestration, resource dependency, and Schumpeterian innovation theories. The study adopted a positivism philosophy and utilised descriptive and explanatory research designs. The study\u27s target population was 243 public hospitals in Kenya. The sample size was 151 public hospitals selected through proportionate sampling and simple random sampling techniques. The study utilised primary data collected through a semi-structured questionnaire. The validity of the questionnaire was checked using face and content analysis from the supervisors and experts who work in public hospitals; while reliability was checked through the use of Cronbach Alpha. A coefficient value of 0.7 was acceptable. Both descriptive and inferential statistics were used for data analysis. The study used multiple linear regression analysis to establish the relationship between the independent and dependent variables and the results obtained were expressed using tables and figures. The study findings revealed that innovative inventory management (β = 0.291; P-Value < 0.05), proactive strategic sourcing (β = 0.645; P-Value < 0.05), and risk taking (β = 0.313; P-Value < 0.05) have a positive and statistically significant relationship with the performance of public hospitals in Kenya. The study revealed a statistically significant (F=89.18, Sig<0.005) moderating effect of healthcare financing on the relationship between entrepreneurial supply chain practices and performance of public hospitals in Kenya. The study concluded that the adoption of entrepreneurial supply chain practices improves performance of public hospitals and therefore recommends the Chief Executive Officers and Medical Superintendents of public hospitals to adopt innovative inventory management, proactive strategic sourcing and risk taking entrepreneurial supply chain practices will provide insights into the management of public hospitals on entrepreneurial supply chain practices as they promote healthcare service delivery, reduce operational costs, enhance hospital reputation and increase effectiveness. The study recommends the Ministry of Health, Social Health Authority, Treasury and County Executive Committee member for Health in the County Governments to institute policies and reforms that promote sustainable financing of healthcare. Such initiatives include vigorous risk pooling through social insurance schemes and selling of health bonds. This will ultimately reduce overdependence on donor funding
CITES And The International Protection Of Biodiversity
Full text linkThe Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) was established in 1973 to address the increasing impact of trade on the conservation of wild species. The trade, which affects hundreds of millions of species, is difficult to regulate due to the scale of illegal trade. CITES is crucial for conservation of wild species as it addresses the global decline in biodiversity. The Convention considers threatened species from two angles: those threatened with extinction and those not yet threatened. The appropriate trade regulations are adopted based on the threat level and the degree of protection. CITES is an economic instrument, not a spatial or biological criteria-based protection mechanism. It is a first-generation convention that operates on three appendices, listing species based on their threat to their survival. The authorisation or prohibition of trade depends on this classification. Appendix-I lists all species threatened with extinction that are or could be affected by trade, while Appendix II includes all species that could become threatened with extinction if trade in specimens of these species were not subject to strict regulation. Appendix III includes all species declared to be subject to regulation intended to prevent or restrict their exploitation and requiring the cooperation of other Parties for the control of trade. The effectiveness of CITES has been the subject of significant studies on its effectiveness and efficiency. However, the control of the effectiveness of the Convention cannot be conducted with regard to all species threatened with extinction, as it would be both reductive and inaccurate. The CITES system is largely based on scientific advice and information, with authorizations or refusals to export or import specimens based on scientific advice. Environmental assessments have occupied an increasingly important place in recent years, particularly through assessments of the impacts of existing or future trade in species. The unbridled development of international material devoted to the environment can lead to questions about the legal, political, and scientific links existing between CITES and other international instruments relating to the environment and their influence on the effectiveness of the Convention. External cooperation are an important factor of dynamism for CITES and its partners, and they also seem to avoid contradictions or conflicts between the provisions of primary or secondary law of CITES and other international conventions
SYNERGISTIC EFFECT OF ANTIBIOTICS AND MEDICINAL PLANTS AGAINST VIBRIO SPECIES ISOLATED FROM SHRIMP OF NATURAL WATERS AND COMMERCIAL AQUA PONDS
Full text linkShrimp aquaculture is a vital global industry that faces significant challenges due to Vibrio species infections, resulting in substantial economic losses. Vibrio parahaemolyticus, Vibrio cholerae, and Vibrio vulnificus are the pathogenic bacteria listed above, which cause vibriosis and reduce shrimp yield and quality. Disease control with antibiotics has led to antibiotic resistances causing conventional treatments to become less effective. As a result, it is imperative to develop available alternative therapy for controlling Vibrio infections in shrimp farming sustainably. This study evaluates the synergistic effect of selected antibiotics and medicinal plant extracts against Vibrio species from shrimp obtained from natural water and commercial aquaculture ponds. To determine bacterial resistance patterns, antimicrobial susceptibility testing was conducted to test for antimicrobial pattern and in the checkerboard assays to assess interactions of the plant extract & antibiotic. The findings indicate that for some combinations of antibiotics and bioactive compounds derived from plants, the resulting antibiotic efficiency is enhanced, the amount of required antibiotics can be reduced, and resistance development can be suppressed. These results demonstrate the feasibility of joining natural antimicrobial agents with treatment regimens, paving the way for improved disease management strategies in sustainable aquaculture
SYNERGISTIC EFFECT OF ANTIBIOTICS AND MEDICINAL PLANTS AGAINST VIBRIO SPECIES ISOLATED FROM SHRIMP OF NATURAL WATERS AND COMMERCIAL AQUA PONDS
Full text linkShrimp aquaculture is a vital global industry that faces significant challenges due to Vibrio species infections, resulting in substantial economic losses. Vibrio parahaemolyticus, Vibrio cholerae, and Vibrio vulnificus are the pathogenic bacteria listed above, which cause vibriosis and reduce shrimp yield and quality. Disease control with antibiotics has led to antibiotic resistances causing conventional treatments to become less effective. As a result, it is imperative to develop available alternative therapy for controlling Vibrio infections in shrimp farming sustainably. This study evaluates the synergistic effect of selected antibiotics and medicinal plant extracts against Vibrio species from shrimp obtained from natural water and commercial aquaculture ponds. To determine bacterial resistance patterns, antimicrobial susceptibility testing was conducted to test for antimicrobial pattern and in the checkerboard assays to assess interactions of the plant extract & antibiotic. The findings indicate that for some combinations of antibiotics and bioactive compounds derived from plants, the resulting antibiotic efficiency is enhanced, the amount of required antibiotics can be reduced, and resistance development can be suppressed. These results demonstrate the feasibility of joining natural antimicrobial agents with treatment regimens, paving the way for improved disease management strategies in sustainable aquaculture
APPLICATION OF NANOTECHNOLOGY IN FOOD SAFETY AND AGRICULTURE: SMART PACKAGING AND DELIVERY SYSTEMS FOR ENHANCED FOOD SECURITY
Full text linkPurpose: This paper examines public perceptions of nanotechnology, focusing on food safety and agriculture. Understanding the factors influencing public attitudes toward nanotechnology can help policymakers and companies seeking to commercialize this emerging technology determine how acceptable it will be when applied in these critical sectors. Objective: The primary objectives of this study were to evaluate the public perception of nanotechnology, explore demographics that influence the way the public perceives these technologies, and take a sneak peek into general opinion around safety, ethics, and environmental impact in nano applications related to food safety or agriculture. Study design: This mixed-methods study utilizes quantitative and qualitative data collection tools—a nanotechnology survey of 200 respondents for quantifiable baseline data on knowledge, attitudes, and concerns towards nanotechnology. Chi-Square tests, ANOVA, and T-tests were used for descriptive statistics and factor analysis. In addition, we carried-out a series of extensive qualitative interviews to add context and interpret the quantitative results at greater depth. Results: There is a low level of public awareness concerning nanotechnology; 68% reported a general lack of knowledge about nanotechnologies. Still, it scored a positive response from 55% of the respondents who had at least some familiarity with nanotechnology and its uses for food safety or agriculture, with significantly higher marks in applications such as advanced food packaging. But worries were every day, too: 62% listed health risks of nanomaterials in food as a concern, and 48% named environmental impacts. The chi-square test indicated no significant association between education level and perception of safety (χ² = 13.497, p = 0.636, degree of freedom = 16). ANOVA revealed significant differences in attitudes across age groups (F = 0.827, p = 0.508). A T-test indicated no significant difference between the groups (t = -2.917, p = 0.003). The correlation analysis yielded a weak correlation (r = -0.042), indicating that the respondents\u27 perceptions of nanotechnology\u27s ability to reduce food waste are largely independent of their views on its effectiveness in monitoring food quality. Practical Implications: These findings are helpful for policymakers and industry leaders in tracking workforce trends concerning gender ratio, age structure, and education levels. Strong public engagement initiatives are required to overcome the widespread ignorance and target fears about nanotechnology. Stakeholders must ensure that nanotechnology-based products are developed and marketed transparently, safeguarding the interests of society against potential misuse and abuse; regulators should establish governance mechanisms to prevent development without due regard for safety or ethics. Consumer concerns will play a significant role in the safe and effective implementation of nanotechnology within agriculture, food preservation & processing. Significance: The results of this study show that the perception matrix can be used for analysis across several contexts, such as food safety agriculture, providing a more comprehensive view of public perceptions and attitudes to nanotechnology. The study provides insights needed to consider the factors connecting these perceptions, providing a better understanding of the effects affecting them (as it utilizes both quantitative & qualitative data). Therefore, this research is beneficial for shaping forthcoming state interventions and engagement activities. The study brings a unique perspective to the public acceptance of new technologies by looking at demographic correlates and educational influence on attitudes towards nanotechnology. Conclusions: This study has demonstrated the importance of public perception for adopting nanotechnology in food safety and agriculture. Although the future of these possibilities is cautiously optimistic, there remain large concerns over safety and significant environmental impacts. There is a lot of pushback from the public about this, so making strides towards becoming more accepted by society will take focused education on these issues aligned with robust regulations. The results highlight the need for continued research and community outreach to deliver nano-innovations in ways that are consistent with societal values