335 research outputs found

    Towards a Typology of Corporate Responsibility in Different Governance Contexts

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    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

    Get PDF
    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)

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    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

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    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

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    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

    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

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    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
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