THE INDIAN GROWTH MIRACLE AND ENDOGENOUS GROWTH

Using over half a century of R&D data for India, this paper tests whether the second-generation endogenous growth theories are consistent with India’s growth experience. Furthermore, the paper also examines the extent to which growth in India can be explained by R&D activity, international R&D spillovers, catch-up to the technology frontier and policy reforms. The empirical results show that the growth in India over the past five decades has been significantly driven by research intensity following the predictions of Schumpeterian growth theory.Schumpeterian growth; semi-endogenous growth; R&D.

Laparoscopic Approach to Vesicovaginal Fistula: Our Experience

AbstractIntroduction: Most Vesicovaginal fistulas  in the industrialized world are iatrogenic, Though they may also result from congenital anomalies, malignant disease, inflammation and infection, radiation therapy, iatrogenic (surgical) or external tissue trauma, ischemia, parturition and a variety of other processes. Vesicovaginal fistulas (VVF) represent, by far, the most common type of acquired fistula of the urinary tract. The goal of treatment of these fistulas is the rapid cessation of urine leakage with return of normal and complete urinary and genital function.Materials and Methods: Female patients presenting with iatrogenic Vesicovaginal fistula formed the study group. A detailed history and physical examination was carried out. Imaging included intravenous urogram, cystogram, computerised tomography, MR imaging and retrograde ureterogram as felt necessary.  Surgical repair of Vesicovaginal fistula was carried out through a laparoscopic approach.Results: 24 women presented with VVF, of these 19 underwent laparoscopic transperitoneal repair, whereas 5 underwent laparoscopic transvesicoscopic repair. The intraoperative blood loss was minimal (< 100 ml) and no major perioperative complications were noted. Conclusions: Minimally invasive approaches to repair vesico-vaginal fistulas are feasible, safe and associated with minimal blood loss, hospital stay and morbidity.Keywords: Laparoscopy, Minimally invasive, Vesicovaginal fistul

Fluorinated models of the iron-only hydrogenase: An electrochemical study of the influence of an electron-withdrawing bridge on the proton reduction overpotential and catalyst stability

AbstractHere we report the synthesis, electrochemistry and electrocatalytic activity of Fe2(CO)6(μ-SC6F5)2 (1) where the highly fluorinated bridge is electron-withdrawing, resulting in decreased electron-density at the iron–iron bond. Additionally we discuss the related substituted complexes Fe2(CO)5(PPh3)(μ-SC6F5)2 (2) and Fe2(CO)4(μ-Ph2PCH2PPh2)(μ-SC6F5)2 (3). As none of the complexes could be protonated in their neutral form it was found that proton reduction catalysis in the presence of strong acid (HBF4) took place at the potential of the first reduction of complex 1 and 3, following an EC mechanism. Complex 2 was unstable in the presence of strong acid. For 1 the potential at which proton reduction took place represented a relatively mild reduction potential (−1.15V vs. Fc/Fc+ in acetonitrile) that was comparable to examples of similar complexes in the literature. Complex 1 generated a small concentration of a highly catalytic species after electrochemical reduction, which we attribute to cleavage of the Fe–Fe bond and formation of a mono-nuclear iron species or to Fe–S bond breakage generating a vacant coordination site. The contributions to the catalytic currents were simulated using DigiSim, where it was found that the rate limiting step for 3 was the elimination of H2. It was also found that the highly catalytic species generated after reduction of 1 was more basic than 1− and also that protonation of this species was faster

Fugitive emission studies of workplace air of an opencast mining locality to know the overall impacts on ambient air quality - A case study

Dust generated by the wheels of dumper, trucks, etc of granular materials exposed to the air known as fugitive emission because it is not discharged to the atmosphere in a confined flow stream. Study has been conducted at Block – II OCP for the evaluation of emission due to area source in order to assess its impact over general ambient air quality. Application of Oak Ridge Air Quality Index (ORAQI) highlight about the status of workplace air as well as overall impacts on the quality of its surrounding atmosphere of the region

Results of Autogenous Trephine Biopsy Needle Bone Grafting in Fractures of Radius and Ulna

Cortico-Cancellous bone graft harvested from the anterior iliac crest by the conventional open method is associated with more morbidity and is more time consuming as compared to the percutaneous method using trephine biopsy needle. The aim of the study was to determine whether cancellous bone graft harvested from anterior iliac crest using trephine biopsy needle consistently achieved bone union in comminuted fractures and fractures of more than 3 weeks duration of radius and ulna and also to determine the morbidity at the donor site. Autogenous cancellous bone graft was harvested percutaneously from 28 iliac crests in 16 patients and applied at fracture sites of 30 forearm bones using a 4mm trephine biopsy needle after the fratures had been fixed with plate and screws. The patients were followed up regularly upto 6 to 9 months post - operatively in the OPD to determine the union status of the fractured bones and the morbidity at the donor site. 29 of the 30 fractures of the forearm bones united without any problems. The shaft of a trephine got bent during the harvesting procedure at the beginning of the study due to improper technique. Cancellous bone graft harvested from the anterior iliac crest results in predictable good union results in comminuted fractures of forearm bones and also fractures presenting after 3 weeks of injury. It is also an easier and quicker way of harvesting bone graft and is associated with lesser morbidity and earlier recovery as compared to conventional open method. Key Words: Bone graft, trephine, fracture of radius and ulna morbidit

Lymphovascular and perineural invasion as selection criteria for adjuvant therapy in intrahepatic cholangiocarcinoma: a multi-institution analysis

AbstractObjectivesCriteria for the selection of patients for adjuvant chemotherapy in intrahepatic cholangiocarcinoma (IHCC) are lacking. Some authors advocate treating patients with lymph node (LN) involvement; however, nodal assessment is often inadequate or not performed. This study aimed to identify surrogate criteria based on characteristics of the primary tumour.MethodsA total of 58 patients who underwent resection for IHCC between January 2000 and January 2010 at any of three institutions were identified. Primary outcome was overall survival (OS).ResultsMedian OS was 23.0months. Median tumour size was 6.5cm and the median number of lesions was one. Overall, 16% of patients had positive margins, 38% had perineural invasion (PNI), 40% had lymphovascular invasion (LVI) and 22% had LN involvement. A median of two LNs were removed and a median of zero were positive. Lymph nodes were not sampled in 34% of patients. Lymphovascular and perineural invasion were associated with reduced OS [9.6months vs. 32.7months (P= 0.020) and 10.7months vs. 32.7months (P= 0.008), respectively]. Lymph node involvement indicated a trend towards reduced OS (10.7months vs. 30.0months; P= 0.063). The presence of either LVI or PNI in node-negative patients was associated with a reduction in OS similar to that in node-positive patients (12.1months vs. 10.7months; P= 0.541). After accounting for adverse tumour factors, only LVI and PNI remained associated with decreased OS on multivariate analysis (hazard ratio4.07, 95% confidence interval 1.60–10.40; P= 0.003).ConclusionsLymphovascular and perineural invasion are separately associated with a reduction in OS similar to that in patients with LN-positive disease. As nodal dissection is often not performed and the number of nodes retrieved is frequently inadequate, these tumour-specific factors should be considered as criteria for selection for adjuvant chemotherapy

Association of the degree of adiposity and duration of obesity with measures of cardiac structure and function: The CARDIA study

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109634/1/oby20865.pd

Managing Invasive Plants on Great Plains Grasslands: A Discussion of Current Challenges

The Great Plains of North America encompass approximately 1,300,000 km2 of land from Texas to Saskatchewan. The integrity of these lands is under continual assault by long-established and newly-arrived invasive plant species, which can threaten native species and diminish land values and ecological goods and services by degrading desired grassland resources. The Great Plains are a mixture of privately and publicly owned lands, which leads to a patchwork of varying management goals and strategies for controlling invasive plants. Continually updated knowledge is required for efficient and effective management of threats posed by changing environments and invasive plants. Here we discuss current challenges, contemporary management strategies, and management tools and their integration, in hopes of presenting a knowledge resource for new and experienced land managers and others involved in making decisions regarding invasive plant management in the Great Plains

Managing Invasive Plants on Great Plains Grasslands: A Discussion of Current Challenges

The Great Plains of North America encompass approximately 1,300,000 km2 of land from Texas to Saskatchewan. The integrity of these lands is under continual assault by long-established and newly-arrived invasive plant species, which can threaten native species and diminish land values and ecological goods and services by degrading desired grassland resources. The Great Plains are a mixture of privately and publicly owned lands, which leads to a patchwork of varying management goals and strategies for controlling invasive plants. Continually updated knowledge is required for efficient and effective management of threats posed by changing environments and invasive plants. Here we discuss current challenges, contemporary management strategies, and management tools and their integration, in hopes of presenting a knowledge resource for new and experienced land managers and others involved in making decisions regarding invasive plant management in the Great Plains

Perception Is Reality: quality metrics in pancreas surgery – a Central Pancreas Consortium (CPC) analysis of 1399 patients

Several groups have defined pancreatic surgery quality metrics that identify centers delivering quality care. Although these metrics are perceived to be associated with good outcomes, their relationship with actual outcomes has not been established