337 research outputs found
Towards a Typology of Corporate Responsibility in Different Governance Contexts
This paper develops a typology of different country governance contexts, in which we propose four broad categories of countries in Sub-Saharan Africa. Our analysis measures the most appropriate methods for helping to create a climate that is receptive to fostering corporate accountability. Our criteria are based on several different factors, none of which is determinative: the natural resources of the country; the country\u27s dependence on one commodity; the corruption level; the stability and accountability of the government; the state of civil society; and the existence of ongoing conflict. Examining these factors together results in measuring not just the country\u27s receptivity to change, but also the means for producing change. At one end of the spectrum, what we label Category 0 countries, are nations with economies and governments that are so poorly managed that there is little multinational investment - sometimes even in the context of lucrative investment opportunities. At the other end lie those countries with acceptable levels of good governance, more developed economies and markets, and with, consequently, a comparatively high level of both domestic and multinational corporate investment. We examine the appropriateness of strategies to apply external or internal pressure in different types of countries. Next, we discuss the affects of applying the proposed intervention strategies to the countries, addressing both short and long-term expected results. We find that in Category 0 countries, with extremely low levels of international investment, strategies should focus on improving governance and overall human welfare, which often could lead to welcoming international corporate investment. Other categories of countries, with greater - and often problematic - international corporate involvement, require different types of approaches
Towards a Typology of Corporate Responsibility in Different Governance Contexts
This paper develops a typology of different country governance contexts, in which we propose four broad categories of countries in Sub-Saharan Africa. Our analysis measures the most appropriate methods for helping to create a climate that is receptive to fostering corporate accountability. Our criteria are based on several different factors, none of which is determinative: the natural resources of the country; the country\u27s dependence on one commodity; the corruption level; the stability and accountability of the government; the state of civil society; and the existence of ongoing conflict. Examining these factors together results in measuring not just the country\u27s receptivity to change, but also the means for producing change. At one end of the spectrum, what we label Category 0 countries, are nations with economies and governments that are so poorly managed that there is little multinational investment - sometimes even in the context of lucrative investment opportunities. At the other end lie those countries with acceptable levels of good governance, more developed economies and markets, and with, consequently, a comparatively high level of both domestic and multinational corporate investment. We examine the appropriateness of strategies to apply external or internal pressure in different types of countries. Next, we discuss the affects of applying the proposed intervention strategies to the countries, addressing both short and long-term expected results. We find that in Category 0 countries, with extremely low levels of international investment, strategies should focus on improving governance and overall human welfare, which often could lead to welcoming international corporate investment. Other categories of countries, with greater - and often problematic - international corporate involvement, require different types of approaches
A randomised trial of anti-GM-CSF otilimab in severe COVID-19 pneumonia (OSCAR)
Background: Granulocyte–macrophage colony-stimulating factor (GM-CSF) and dysregulated myeloid cell responses are implicated in the pathophysiology and severity of COVID-19. Methods: In this randomised, sequential, multicentre, placebo-controlled, double-blind study, adults aged 18–79 years (Part 1) or ≥70 years (Part 2) with severe COVID-19, respiratory failure and systemic inflammation (elevated C-reactive protein/ferritin) received a single intravenous infusion of otilimab 90 mg (human anti-GM-CSF monoclonal antibody) plus standard care (NCT04376684). The primary outcome was the proportion of patients alive and free of respiratory failure at Day 28. Results: In Part 1 (n=806 randomised 1:1 otilimab:placebo), 71% of otilimab-treated patients were alive and free of respiratory failure at Day 28 versus 67% who received placebo; the model-adjusted difference of 5.3% was not statistically significant (95% CI −0.8–11.4%, p=0.09). A nominally significant model-adjusted difference of 19.1% (95% CI 5.2–33.1%, p=0.009) was observed in the predefined 70–79 years subgroup, but this was not confirmed in Part 2 (n=350 randomised) where the model-adjusted difference was 0.9% (95% CI −9.3–11.2%, p=0.86). Compared with placebo, otilimab resulted in lower serum concentrations of key inflammatory markers, including the putative pharmacodynamic biomarker CC chemokine ligand 17, indicative of GM-CSF pathway blockade. Adverse events were comparable between groups and consistent with severe COVID-19. Conclusions: There was no significant difference in the proportion of patients alive and free of respiratory failure at Day 28. However, despite the lack of clinical benefit, a reduction in inflammatory markers was observed with otilimab, in addition to an acceptable safety profile
Pitch Patterns in Vocal Expression of “Happiness” and “Sadness” in the Reading Aloud of Prose on the Basis of Selected Audiobooks
The primary focus of this paper is to examine the way the emotional categories of “happiness” and “sadness” are expressed vocally in the reading aloud of prose. In particular, the two semantic categories were analysed in terms of the pitch level and the pitch variability on a corpus based on 28 works written by Charles Dickens. passages with the intended emotional colouring were selected and the fragments found in the corresponding audiobooks. They were then analysed acoustically in terms of the mean F0 and the standard deviation of F0. The results for individual emotional passages were compared with a particular reader’s mean pitch and standard deviation of pitch. The differences obtained in this way supported the initial assumptions that the pitch level and its standard deviation would raise in “happy” extracts but lower in “sad” ones. Nevertheless, not all of these tendencies could be statistically validated and additional examples taken from a selection of random novels by other nineteenth century writers were added. The statistical analysis of the larger samples confirmed the assumed tendencies but also indicated that the two semantic domains may utilise the acoustic parameters under discussion to varying degrees. While “happiness” tends to be signalled primarily by raising F0, “sadness” is communicated mostly by lowering the variability of F0. Changes in the variability of F0 seem to be of less importance in the former case, and shifts in the F0 level less significant in the latter
Coherent Vector Meson Photoproduction with Nuclear Breakup in Relativistic Heavy Ion Collisions
Relativistic heavy ions are copious sources of virtual photons. The large
photon flux gives rise to a substantial photonuclear interaction probability at
impact parameters where no hadronic interactions can occur. Multiple
photonuclear interactions in a single collision are possible. In this letter,
we use mutual Coulomb excitation of both nuclei as a tag for moderate impact
parameter collisions. We calculate the cross section for coherent vector meson
production accompanied by mutual excitation, and show that the median impact
parameter is much smaller than for untagged production. The vector meson
rapidity and transverse momentum distribution are very different from untagged
exclusive vector meson production.Comment: 14 pages, including 4 figure
Lorentz invariance relations between parton distributions and the Wandzura-Wilczek approximation
The violation of the so-called Lorentz invariance relations between parton
distribution functions is considered in a model independent way. It is shown
that these relations are not violated in a generalized Wandzura-Wilczek
approximation, indicating that numerically their violation may be small.Comment: 13 pages, added references, minor changes, to appear in Phys. Lett.
C-20 Cardiorespiratory Fitness Predicts Processing Speed Performance in Urban Latin Americans
Asociado a Proyecto 723-B3-339 (FUNDEVI # 2791-01). Edad, Fase 1: envejecimiento saludable en zonas urbanas y rurales. (EDAD, Phase 1: Healthy Aging in Urban and Rural Areas. EDAD "The Epidemiology and Development of Alzheimer´s Disease)". NIH –Fogarty Grant Number: 1R21TW009665 – 01. Fogarty International Center (FIC), National Institute of Health (NIH). Universidad de Kansas-Universidad de Costa RicaObjective
There is evidence that cardiorespiratory fitness (CRF) protects against age-related declines in processing speed (PS), but studies investigating older adults living in low and middle-income countries are lacking. We used data from the Epidemiology and Development of Alzheimer’s Disease (EDAD) study to investigate the role of CRF on PS in older Costa Rican adults.
Method
306 community dwelling older adults (mean age = 69) were recruited for a study on cognition and physical fitness. We used a regression model to test the association between CRF and a composite measure of PS (Digit Symbol, Trails A, Block Design, and Stroop Color Naming). Confirmatory factor analysis (CFA) with full information maximum likelihood was conducted in a nested multi-step process on subtest scores. We also compared the strength of the relationship between two measures of CRF: Maximal oxygen uptake (V02 peak) and a latent variable comprised of distance achieved during the 6-minute Walk Test and change in heart rate before and after walking (Modified 6-Minute Walk).
Results
Higher CRF was significantly associated with PS, and the association remained significant after controlling for age and sex (B = 0.21; p < .001). The strength of the relationship between two measures of CRF was very high, suggesting equivalence of these indices.
Conclusions
CRF and PS are clinically meaningful therapeutic targets for future prevention trials in Latin America. The modified 6-Minute Walk is an efficient approximation of the gold standard CRF measurement. The cognitive benefits of CRF should be compared to other lifestyle interventions (e.g., diet) to determine the active components of cognitive improvement.Universidad de Costa Rica/[723-B3-339]/UCR/Costa RicaUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Psicológicas (IIP
The efficacy and mechanism evaluation of treating idiopathic pulmonary fibrosis with the addition of co-trimoxazole (EME-TIPAC): study protocol for a randomised controlled trial
Background: We hypothesise, based upon the findings from our previous trial, that the addition of co-trimoxazole to standard therapy is beneficial to patients with moderate to severe idiopathic pulmonary fibrosis (IPF). We aim to investigate this by assessing unplanned hospitalisation-free survival (defined as time from randomisation to first non-elective hospitalisation, lung transplant or death) and to determine whether any effect relates to changes in infection and/or markers of disease control and neutrophil activity. Methods/design: The EME-TIPAC trial is a double-blind, placebo-controlled, randomised, multicentre clinical trial. A total of 330 symptomatic patients, aged 40 years old or older, with IPF diagnosed by a multidisciplinary team (MDT) according to international guidelines and a FVC ≤ 75% predicted will be enrolled. Patients are randomised equally to receive either two tablets of co-trimoxazole 480 mg or two placebo tablets twice daily over a median treatment period of 27 (range 12–42) months. All patients receive folic acid 5 mg daily whilst on the trial IMP to reduce the risk of bone marrow depression. The primary outcome for the trial is a composite endpoint consisting of the time to death, transplant or first nonelective hospital admission and will be determined from adverse event reporting, hospital databases and the Office of National Statistics with active tracing of patients missing appointments. Secondary outcomes include the individual components of the primary outcome, (1) King’s Brief Interstitial Lung Disease Questionnaire, (2) MRC Dyspnoea Score, (3) EQ5D, (4) spirometry, (5) total lung-diffusing capacity and (6) routine sputum microbiology. Blood will be taken for cell count, biochemistry and analysis of biomarkers including C-reactive protein and markers of disease. The trial will last for 4 years. Recruitment will take place in a network of approximately 40 sites throughout the UK (see Table 1 for a full list of participating sites). We expect recruitment for 30 months, follow-up for 12 months and trial analysis and reporting to take 4 months. Discussion: The trial is designed to test the hypothesis that treating IPF patients with co-trimoxazole will increase the time to death (all causes), lung transplant or first non-elective hospital admission compared to standard care (https://www.nice.org.uk/guidance/cg163), in patients with moderate to severe disease. The mechanistic aims are to investigate the effect on lung microbiota and other measures of infection, markers of epithelial injury and markers of neutrophil activity. Trial registration: International Standard Randomised Controlled Trials Number (ISRCTN) Registry, ID: 17464641. Registered on 29 January 2015. Keywords: Idiopathic pulmonary fibrosis, Co-trimoxazole, Forced vital capacity, Mortalit
Impact of social support on cognitive vascular risk factors in latino older adults
póster en conferencia en conferencia anual de National Academy of Neuropsychology 2019, San Diego, Estados Unidos. 13-16 de noviembreObjective: Central Americans have a cardiovascular disease (CVD) health advantage, as they are half as likely to carry CVD
as European Americans, despite having an equivalent degree of vascular risk factors (VRFs). We examined the impact of
social support on this paradox and the relationship to cognitive decrements among Costa Rican older adults. Methods: We
identified predictors of the CVD health advantage (VRFs in the absence of CVD: Heart Attack, MI, Stroke). Hypertension
(HTN) and CVD were coded as present or absent based on medical history. Of 315 participants, 146 (46%) had HTN but no CVD,
59 (19%) had CVD, and 110 had neither HTN nor CVD. To estimate ROC curves, we applied canonical discriminant analysis
to item groups based on the discipline cluster. The discriminant analysis identified items that maximally differentiated the
diagnostic groups in a step-wise fashion. Results: Social support and social engagement were stronger predictors of the health
advantage than subjective memory complaints. Social Support was a reliable indicator of CVD health advantage (accuracy =
93%, sensitivity = 93%, specificity = 89%). Social Engagement was a reliable discriminator of diagnostic groups (accuracy =
84%, sensitivity = 88%, specificity =75%) versus subjective memory complaints (accuracy = 79%, sensitivity of 82%,
specificity of 74%). Conclusion: Our exploratory analyses suggest that social support is an important predictor of living with
VRFs but not developing CVD. Current studies are underway to examine the contribution of these risk factors to the development
of dementia and cognitive impairment to maximize cost-effective interventions.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Psicológicas (IIP
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