From Human Trafficking to Human Resources: Acquisition of Victims of Human Exploitation in Terms of Human Resources

Human exploitation is one of the most noncompliant and unacceptable invasion of human rights. Even though generally developed countries are interested in the effects on their own political and economical scheme, actually socio-psychological conditions of victims should be considered regarding the human exploitation. These people who are forced to be in a totally different environment are having a difficulty of integration. Integration and rehabilitation will be effective if applied in all areas with many extensions. In this paper, human exploitation in working places and human resources policies and strategies which would make the integration period shorter for refugee employees

Changes in Quality Characteristics of Strawberry Tree (Arbutus unedo L.) Fruit Packed with Perforated Polyethylene Terephthalate During Cold Storage

This study evaluated the effects of polyethylene terephthalate (PET) treatments with different numbers of holes on the preservation of strawberry tree (Arbutus unedo L.) fruit. For this purpose, PET treatments with different holes were evaluated for respiration rate, weight loss, color (L*, a*, and b*) changes, soluble solids content (SSC), titratable acidity (TA), vitamin C, total phenolics, total flavonoids, antioxidant activity (DPPH and FRAP), and individual phenolics. Analysis has shown that weight loss increases as storage time increases. It has been determined that PET 2 treatment is more effective than PET 1 in terms of weight loss and respiratory rate. During the storage, TA and SSC were lower in PET 2, while the vitamin C content was higher. It was determined that PET treatments had different effects on color parameters, total phenolics, and total flavonoids. Particularly in the PET 2, total flavonoids and DPPH activity was significantly higher during storage. It has been determined that catechin is the major content in strawberry tree fruit, which increases in both treatments with the progress of cold storage. When the 10 individual phenolics examined were evaluated, storage time and PET treatments had different effects. The significant effect of PET treatments continued only for epicatechin and protocatechuic acid during storage. As a result, it has been shown that PET 2 treatment is more effective in preserving fruit quality and nutritional values

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)