Quarterly Economic Commentary, Winter 1992/3

On the partial evidence so far available, it seems likely that there was a slight decline in economic activity in the final quarter of 1992. However, the economy had been expanding quite rapidly before the September currency crisis, so that the annual growth rate of real GNP in 1992 is estimated at 2% per cent. The conditions of international uncertainty and very high domestic interest rates, which were responsible for the downturn in late 1992, have persisted for most of the first quarter of 1993. It is thus reasonable to assume that the economy continued to stagnate or decline. The restoration of industrial competitiveness through the devaluation of the Irish pound, the subsequent reduction in domestic interest rates, and the injection of substantial EC capital funds should all help to reverse this decline. Nevertheless the outlook for 1993 remains very uncertain, and this uncertainty is likely to be compounded by the absence of trade statistics for the first half of the year. Any forecast must be regarded as tentative, and subject to a large margin of error. With this proviso, the least unlikely outcome for 1993 is a growth of real GNP of about 1 per cent, price inflation of 3 per cent, consolidation of the current account balance of payments surplus at about 6 per cent of GNP, and a small decline in the average number at work..

Manufacturing Output and Employment by Market Area. Quarterly Economic Commentary Special Article, Spring 1993

The currency instability following sterling's withdrawal from the ERM focused attention on the proportion of industrial employment dependent on the UK market or otherwise vulnerable to fluctuations in the value of sterling. Although exchange rates are now more stable, a renewed depreciation of sterling within the next few years cannot be ruled out. Thus the issue of the employment share of major overseas markets remains of interest and deserves closer examination. No definitive detailed assessment of total employment exposure to currency risks is feasible, although surveys can make a significant contribution to knowledge, especially in the difficult areas of overseas competition on the domestic market and international competition in third markets. However, as a statistical baseline, the employment dependent on different markets in 1989 can be derived from the Census of Industrial Production for that year. Taken in conjunction with the 1985 Input-Output tables, a reasonable estimate of the employment content of domestic disposal and of direct and indirect exports to the UK, other EC countries and to the rest of the world can be made. The information is obviously rather dated by now, but the basic patterns are unlikely to have been radically changed in the intervening years. A clear picture of the 1989 pattern should still provide a useful basis for the consideration of future developments

Assessment of QEC Forecasts, 1984-90. Quarterly Economic Commentary, Winter 1992/3

On the partial evidence so far available, it seems likely that there was a slight decline in economic activity in the final quarter of 1992. However, the economy had been expanding quite rapidly before the September currency crisis, so that the annual growth rate of real GNP in 1992 is estimated at 2% per cent. The conditions of international uncertainty and very high domestic interest rates, which were responsible for the downturn in late 1992, have persisted for most of the first quarter of 1993. It is thus reasonable to assume that the economy continued to stagnate or decline. The restoration of industrial competitiveness through the devaluation of the Irish pound, the subsequent reduction in domestic interest rates, and the injection of substantial EC capital funds should all help to reverse this decline

Atypical work and unemployment protection in Europe

This paper evaluates the degree of income protection the tax-benefit system provides to atypical workers in the event of unemployment. Our approach relies on simulating transitions from employment to unemployment for the entire workforce in EU member states to compare household financial circumstances before and after the transition. Our results show that coverage rates of unemployment insurance are low among atypical workers, who are also more exposed to the risk of poverty, both while in work and in unemployment. Low work intensity employees are characterized by high net replacement rates. However, this is due to the major role played by market incomes of other household members. Finally, we show that in countries where self-employed workers are not eligible for unemployment insurance benefits, extending the eligibility to this group of workers would increase their replacement rates and make them less likely to fall into poverty in the event of unemployment

Characterization of the Mycobacterial MSMEG-3762/63 Efflux Pump in Mycobacterium smegmatis Drug Efflux

Multi-drug resistant tuberculosis (MDR-TB) represents a major health problem worldwide. Drug efflux and the activity of efflux transporters likely play important roles in the development of drug-tolerant and drug-resistant mycobacterial phenotypes. This study is focused on the action of a mycobacterial efflux pump as a mechanism of drug resistance. Previous studies demonstrated up-regulation of the TetR-like transcriptional regulator MSMEG_3765 in Mycobacterium smegmatis and its ortholog Rv1685c in Mycobacterium tuberculosis (Mtb) in acid-nitrosative stress conditions. MSMEG-3765 regulates the expression of the MSMEG_3762/63/65 operon, and of the orthologous region in Mtb (Rv1687c/86c/85c). MSMEG-3762 and Rv1687c are annotated as ATP-binding proteins, while MSMEG-3763 and Rv1686c are annotated as trans-membrane polypeptides, defining an ABC efflux pump in both M. smegmatis and Mtb. The two putative efflux systems share a high percentage of identity. To examine the role of the putative efflux system MSMEG-3762/63, we constructed and characterized a MSMEG-3763 deletion mutant in M. smegmatis (∆MSMEG_3763). By comparative analysis of wild type, knockout, and complemented strains, together with structural modeling and molecular docking bioinformatics analyses of the MSMEG-3763 trans-membrane protein, we define the protein complex MSMEG-3762/63 as an efflux pump. Moreover, we demonstrate involvement of this pump in biofilm development and in the extrusion of rifampicin and ciprofloxacin (CIP), antimicrobial drugs used in first- and second-line anti-TB therapies

Team Objective Structured Bedside Assessment (TOSBA) as formative assessment in undergraduate Obstetrics and Gynaecology: a cohort study.

BACKGROUND: Team Objective Structured Bedside Assessment (TOSBA) is a learning approach in which a team of medical students undertake a set of structured clinical tasks with real patients in order to reach a diagnosis and formulate a management plan and receive immediate feedback on their performance from a facilitator. TOSBA was introduced as formative assessment to an 8-week undergraduate teaching programme in Obstetrics and Gynaecology (O\u26G) in 2013/14. Each student completed 5 TOSBA sessions during the rotation. The aim of the study was to evaluate TOSBA as a teaching method to provide formative assessment for medical students during their clinical rotation. The research questions were: Does TOSBA improve clinical, communication and/or reasoning skills? Does TOSBA provide quality feedback? METHODS: A prospective cohort study was conducted over a full academic year (2013/14). The study used 2 methods to evaluate TOSBA as a teaching method to provide formative assessment: (1) an online survey of TOSBA at the end of the rotation and (2) a comparison of the student performance in TOSBA with their performance in the final summative examination. RESULTS: During the 2013/14 academic year, 157 students completed the O\u26G programme and the final summative examination . Each student completed the required 5 TOSBA tasks. The response rate to the student survey was 68 % (n = 107/157). Students reported that TOSBA was a beneficial learning experience with a positive impact on clinical, communication and reasoning skills. Students rated the quality of feedback provided by TOSBA as high. Students identified the observation of the performance and feedback of other students within their TOSBA team as key features. High achieving students performed well in both TOSBA and summative assessments. The majority of students who performed poorly in TOSBA subsequently passed the summative assessments (n = 20/21, 95 %). Conversely, the majority of students who failed the summative assessments had satisfactory scores in TOSBA (n = 6/7, 86 %). CONCLUSIONS: TOSBA has a positive impact on the clinical, communication and reasoning skills of medical students through the provision of high-quality feedback. The use of structured pre-defined tasks, the observation of the performance and feedback of other students and the use of real patients are key elements of TOSBA. Avoiding student complacency and providing accurate feedback from TOSBA are on-going challenges

Identification of antigens presented by MHC for vaccines against tuberculosis

Mycobacterium tuberculosis (M.tb) is responsible for more deaths globally than any other pathogen. The only available vaccine, bacillus Calmette-Guérin (BCG), has variable efficacy throughout the world. A more effective vaccine is urgently needed. The immune response against tuberculosis relies, at least in part, on CD4+ T cells. Protective vaccines require the induction of antigen-specific CD4+ T cells via mycobacterial peptides presented by MHC class-II in infected macrophages. In order to identify mycobacterial antigens bound to MHC, we have immunoprecipitated MHC class-I and class-II complexes from THP-1 macrophages infected with BCG, purified MHC class-I and MHC class-II peptides and analysed them by liquid chromatography tandem mass spectrometry. We have successfully identified 94 mycobacterial peptides presented by MHC-II and 43 presented by MHC-I, from 76 and 41 antigens, respectively. These antigens were found to be highly expressed in infected macrophages. Gene ontology analysis suggests most of these antigens are associated to membranes and involved in lipid biosynthesis and transport. The sequences of selected peptides were confirmed by spectral match validation and immunogenicity evaluated by IFN-gamma ELISpot against peripheral blood mononuclear cell from volunteers vaccinated with BCG, M.tb latently infected subjects or patients with tuberculosis disease. Three antigens were expressed in viral vectors, and evaluated as vaccine candidates alone or in combination in a murine aerosol M.tb challenge model. When delivered in combination, the three candidate vaccines conferred significant protection in the lungs and spleen compared with BCG alone, demonstrating proof-of-concept for this unbiased approach to identifying new candidate antigens

Entrepreneurial sons, patriarchy and the Colonels' experiment in Thessaly, rural Greece

Existing studies within the field of institutional entrepreneurship explore how entrepreneurs influence change in economic institutions. This paper turns the attention of scholarly inquiry on the antecedents of deinstitutionalization and more specifically, the influence of entrepreneurship in shaping social institutions such as patriarchy. The paper draws from the findings of ethnographic work in two Greek lowland village communities during the military Dictatorship (1967–1974). Paradoxically this era associated with the spread of mechanization, cheap credit, revaluation of labour and clear means-ends relations, signalled entrepreneurial sons’ individuated dissent and activism who were now able to question the Patriarch’s authority, recognize opportunities and act as unintentional agents of deinstitutionalization. A ‘different’ model of institutional change is presented here, where politics intersects with entrepreneurs, in changing social institutions. This model discusses the external drivers of institutional atrophy and how handling dissensus (and its varieties over historical time) is instrumental in enabling institutional entrepreneurship