Background: The increasing prevalence of Diabetes Mellitus (DM) is closely tied to complications, particularly diabetic foot ulcers, which significantly raise the risk of lower extremity amputations due to infected, non-healing ulcers. This study aimed to assess diabetic foot prevention knowledge, practices and associated factors among patients at the Edward Francis Small Teaching Hospital (EFSTH), Banjul. Methods: In this cross-sectional study, we employed a convenience sampling technique to enroll 357 diabetic patients, both inpatients and outpatients, who were under the care of EFSTH. Data on diabetic foot prevention were collected through semi-structured interviews conducted by trained interviewers. Statistical analyses were carried out using SPSS, encompassing descriptive analysis, chi-square, Fisher exact tests, and logistic regression. Statistical significance was set at p<0.05, with a 95% confidence interval. Results: The mean age of the respondents was 47.3 years (±10.5), with women comprising 55.2% of the study population and 94.4% were married. About 73% demonstrated good knowledge of diabetic foot care and prevention, while 25.8% exhibited fair knowledge. A significant association was observed in bivariate analysis with patients’ educational level (P = 0.032). Specifically, patients with Madarasa (Arabic) education had a 68% lower likelihood 【aOR: 0.320, 95% CI: (0.103, 0.992), p = 0.048】 of practicing diabetic foot care and prevention compared to those with tertiary education. Conclusion: The study revealed that participants’ knowledge of preventing diabetic foot was high. However, the practice was poor. Therefore, there is a need for more health education on the practices that would emphasize diabetes management among diabetes patients.

Objective: This systematic review aimed to identify, synthesize, and critically analyze the available evidence on clinical protocols used for the prevention and treatment of prosthetic joint infection (PJI) in total hip arthroplasty (THA), based on studies published between 2000 and 2025. Methods: The review was conducted according to PRISMA guidelines. Electronic searches were performed in PubMed (MEDLINE), Scopus, Web of Science, and Embase between January and April 2025. Eligible studies included clinical trials, cohort studies, case-control studies, systematic reviews, and meta-analyses published in English that addressed either preventive or therapeutic strategies for PJI in THA. Study selection, data extraction, and quality assessment were carried out independently by two reviewers. Due to the heterogeneity of the included studies, a qualitative synthesis was performed. Results: A total of 32 studies were included. Preventive measures identified in the literature comprised combined antibiotic prophylaxis (cefazolin and gentamicin), multimodal perioperative protocols such as ACERTO, nasal decolonization for Staphylococcus aureus, silver-impregnated dressings, and structured post-discharge surveillance. Treatment strategies included DAIR (Debridement, Antibiotics, and Implant Retention), the DAPRI technique, one-stage and two-stage revision surgeries, muscle flap reconstructions, and protocols without spacers. These interventions were associated with significantly reduced infection rates and improved clinical outcomes when applied appropriately and in accordance with patient-specific factors. Conclusion: Effective prevention and treatment of PJI in total hip arthroplasty require a systematic and evidence-based approach. Integrated protocols—spanning preoperative optimization, meticulous intraoperative techniques, and rigorous postoperative monitoring—have proven effective in reducing infection incidence. In cases of established infection, surgical management must be tailored to the timing of infection, microbial profile, and host conditions. Two-stage revision remains the gold standard for complex infections, while one-stage revision and emerging techniques like DAPRI offer promising results in selected cases. This review contributes to the standardization of clinical practice and supports improved patient outcomes.

This aimed to examine the societal perception of new religious movements' televangelism in Dunkwa-On-Offin, Ghana's Central Region. The study used a sequential explanatory mixed-methods design, using the mixed methods approach to research. The population of this study comprised Women, Regular churchgoers, believers, and those listening to televangelism services by new religious movements, as well as clergy, lay leaders, and other male worshippers. Random and purposive sampling techniques were used to select 200 women and 20 men from House of Power Ministry International and GILGAL Pentecostal Prayer Ministry International as the respondents for the study. The instruments used for data collection were questionnaires and interview guides. IBM SPSS statistics software version 23 was used to analyse the quantitative data, while qualitative data was analysed thematically with an interpretative lens. The study has revealed that society perceives the televangelism movements as helpful and encouraging but could also create trouble in fundamental Christian worship principles. The study also indicates that televangelists emphasise material things rather than spiritual matters. Other concerns included that televangelism brings about the separation of family and friends because they always inform members that their friends and family are evil. It is recommended that there is the need to change or improve the credibility perception among Christians in Ghana about televangelism. Televangelists must exhibit accountability and integrity to their worshippers by providing adequate information to encourage viewers to support their ministries.

Most people can't subscribe to every direct-to-consumer platform today, and the number is growing. The platform's content and the user's experience influence the decision to subscribe or buy. Today's consumers anticipate instantaneously curated content exploration, acquisition, and consumption. Media firms actively seek to increase both click-through rate and profitability by enhancing the user experience and enticing customers to subscribe or buy premium content through recommender systems. The direct-to-consumer platforms may maintain user engagement after consumers have visited the contents by providing suggestions that make the most of the site's rich content catalogs. By bringing it to the attention of viewers based on their viewing habits, for instance, effective recommendation systems might boost earnings for underappreciated "long tail" content. This research explores various recommender system types currently in widespread usage with an analysis of some of the fascinating breakthroughs.

An advertisement is the promotion of a product, brand, or service to customers in order to pique their attention and increase sales. Advertisement comes in many forms, like video, picture, and song. The main purpose of advertising is to make the product or brand known to the public and bought by people. In advertising, the producer or company will use the slogan as the product identity itself. Slogan can give bridge the advertisement about the image of product. In slogan there are short words, often memorable to send a message of the advertisement to the people. This study aimed to analyze the type of figurative language used in advertisement slogan. The design of this research is descriptive qualitative method. In this research, the researchers focused on English slogan of Indonesia advertising. The data were collected from internet, newspaper and television. Furthermore, the collected data were analyzed by Kennedy’s (1983) theory. The researchers found there were 15 English slogan of advertisement. Based on the data analysis, the result of the research showed that the most types figurative language used in advertisement slogan was Metaphor (33,33%) or 5 slogans, personification (26,66%) or 4 slogans, hyperbole (26,66% ) or 4 slogans and symbol (13,33%) 2 slogans. The researchers did not found type of figurative language Simile, Litotes, Synecdoche, Allusion, Paradox, Irony, Ellipsis and Metanymy in advertisement slogans. As we can see, the dominant type of figurative language used in advertisement slogan was Metaphor with total amount 5 slogans (33,33%) from the data.