210 research outputs found
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The Airbus bribery scandal: A collective myopia perspective
Copyright © 2022 The Authors. Drawing on collective myopia as a lens, we explore the infamous Airbus bribery scandal to show how the executives of the global aircraft manufacturer, through their actions and behaviours, institutionalised the payment of bribes to secure contracts. Data for the inquiry consist of publicly available court-approved documents, company website and internal emails, and newspaper articles on the scandal. Unpacking the bribery scheme operated by Airbus, we found that bribing of foreign government officials and airline executives to secure contracts was part and parcel of the firm's organising strategy. In this regard, the organising practices of Airbus actively encouraged employees to break its own bribery compliance policies which they employed as smokescreens to cover their illegal activities. Building on our findings, we developed a collective myopic-bribery framework outlining how the collective myopia in organising drove the bribery activities at Airbus. The implications of the findings for theory and practice are outlined
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Cocoa production, farmlands, and the galamsey: Examining current and emerging trends in the ASM-agriculture nexus
Data availability: The data that has been used is confidential.Copyright © 2023 The Authors. In this paper, we build on the diverse discussions on the nexus between artisanal and small-scale mining and agriculture to examine emerging relationships between mining operators, smallholder cocoa farmers, and landowners in rural cocoa-growing communities. Empirically, we draw on fresh insights from in-depth interviews with loosely coupled chain actors in Ghana's cocoa and mining sectors, we found what we call âcoerced to sellâ strategies deployed by miners in the acquisition of farmlands for their operations. We go further to shed light on the employment trajectories of the new breed of landless farmers, and the emerging diversification strategies of landowners. Implications of our findings for the policy and practice of ASM and farmlands are outlined
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Ban mining, ban dining? Re(examining) the policy and practice of âmilitarised conservationismâ on ASM operations
The artisanal and small-scale mining (ASM) frontier continues to advance in most mineral-endowed countries due to rising unemployment and general economic decline particularly in rural communities. The sector, however, is often viewed in a negative light because it is highly environmentally destructive. In seeking to address the environmental challenges, many governments have, on occasion, actioned military strategies aimed at presenting facets of âsanitisationâ to a highly informal industry that has historically been tagged as an enemy of the environment. This study examines such âmining vs. environmentâ discourses that have resulted in military crackdowns on ASM operations in parts of sub-Saharan Africa. Overall, the findings bust the âmythâ of the appropriateness of military interventions regarding ASM operations. Offering insights into the livelihood dimensions of ASM operations, we submit that our understanding of mining-ban failures can be assisted by an understanding of the broader geographical, socio-economic, technological, and institutional antecedents that combine to allow illegal mining operations to proliferate
Pathogenicity and fungicide sensitivity of the causal agent of postharvest stem end rot disease of mango in Ghana
ABSTRACTStudies were carried out on the stem end rot disease of mango in Ghana. The incidence and severity of the disease were evaluated on mango fruits collected from major mango growing areas of Ghana. The causal agent was isolated on media and identified. The pathogenicity of the fungus and its cross-infection potential were determined on mango, avocado, papaya and banana fruits. The sensitivity of the pathogen to fungicides was determined by assessing radial mycelial growth on potato dextrose agar (PDA) amended with nine different fungicides (Bendazim, Funguran, Ivory, Topsin, Asuoku master, Kocide, Mirage, Sulphur 80 and Copper oxychloride). Stem end rot disease was prevalent in the major mango growing areas of Ghana. Two pathogens, Lasiodiplodia theobromae and Colletotrichum gloeosporioides were isolated from the disease lesions. However, only the former was able to cause stem end rot disease symptoms on the artificially inoculated fruits, confirming it as the causal agent of the disease. It was also found to be highly susceptible to Bendazim, Ivory, Topsin, Asuoku master and Mirage, whilst it was resistant to Funguran, Kocide, Sulphur 80 and Copper oxychloride.Original sciencitic paper. Received 30 Apr 15; revised 17 Oct 14
Synthesis and dissolution of hemicatenanes by type IA DNA topoisomerases
A hemicatenane conjoins two DNA duplexes through a single-strand interlock. It has been proposed that hemicatenanes are important intermediates for replication, repair, and recombination. However, the biochemical analysis of hemicatenanes is hampered by the relative inaccessibility of such structures. We report here that a DNA topoisomerase III (Top3) from a hyperthermophilic archaeum can carry out synthesis and dissolution of hemicatenanes. We also show that a complex of human Top3α, Bloom helicase (Blm), and RecQ-mediated genome instability protein 1 and 2 has a biochemical function of reversing this hemicatenation. Our results demonstrate that type IA topoisomerases can regulate the formation of hemicatenane structures
Association of Methylentetraydrofolate Reductase (MTHFR) 677 C > T gene polymorphism and homocysteine levels in psoriasis vulgaris patients from Malaysia: a case-control study
<p>Abstract</p> <p>Background</p> <p>The methylenetetrahydrofolate reductase (MTHFR) enzyme catalyzes the reduction of 5, 10-methylenetetrahydrofolate to 5-methyltetrahydrofolate and methyl donors. The methyl donors are required for the conversion of homocysteine to methionine. Mutation of MTHFR 677 C > T disrupts its thermostability therefore leads to defective enzyme activities and dysregulation of homocysteine levels.</p> <p>Methods</p> <p>This case-control study (n = 367) was conducted to investigate the correlation of the MTHFR gene polymorphism [NM_005957] and psoriasis vulgaris amongst the Malaysian population. Overnight fasting blood samples were collected from a subgroup of consented psoriasis vulgaris patients and matched controls (n = 84) for the quantification of homocysteine, vitamin B<sub>12 </sub>and folic acid levels.</p> <p>Results</p> <p>There was no significant increase of the MTHFR 677 C > T mutation in patients with psoriasis vulgaris compared with controls (<it>Ï</it><sup>2 </sup>= 0.733, p = 0.392). No significant association between homocysteine levels and MTHFR gene polymorphism in cases and controls were observed (F = 0.91, df = 3, 80, p = 0.44). However, homocysteine levels in cases were negatively correlated with vitamin B<sub>12 </sub>(r = -0.173) and folic acid (r = -0.345) levels. Vitamin B<sub>12 </sub>and folic acid levels in cases were also negatively correlated (r = -0.164).</p> <p>Conclusions</p> <p>Our results indicate that there was no significant association between the MTHFR gene polymorphism and psoriasis vulgaris in the Malaysian population. There was no significant increase of the plasma homocysteine level in the psoriasis patients compared to the controls.</p
Development of a quality indicator set to measure and improve quality of ICU care in low- and middle-income countries
PURPOSE:
To develop a set of actionable quality indicators for critical care suitable for use in low- or middle-income countries (LMICs).
METHODS:
A list of 84 candidate indicators compiled from a previous literature review and stakeholder recommendations were categorised into three domains (foundation, process, and quality impact). An expert panel (EP) representing stakeholders from critical care and allied specialties in multiple low-, middle-, and high-income countries was convened. In rounds one and two of the Delphi exercise, the EP appraised (Likert scale 1â5) each indicator for validity, feasibility; in round three sensitivity to change, and reliability were additionally appraised. Potential barriers and facilitators to implementation of the quality indicators were also reported in this round. Median score and interquartile range (IQR) were used to determine consensus; indicators with consensus disagreement (medianâ<â4, IQRââ€â1) were removed, and indicators with consensus agreement (medianââ„â4, IQRââ€â1) or no consensus were retained. In round four, indicators were prioritised based on their ability to impact cost of care to the provider and recipient, staff well-being, patient safety, and patient-centred outcomes.
RESULTS:
Seventy-one experts from 30 countries (nâ=â45, 63%, representing critical care) selected 57 indicators to assess quality of care in intensive care unit (ICU) in LMICs: 16 foundation, 27 process, and 14 quality impact indicators after round three. Round 4 resulted in 14 prioritised indicators. Fifty-seven respondents reported barriers and facilitators, of which electronic registry-embedded data collection was the biggest perceived facilitator to implementation (nâ=â54/57, 95%) Concerns over burden of data collection (nâ=â53/57, 93%) and variations in definition (nâ=â45/57, 79%) were perceived as the greatest barrier to implementation.
CONCLUSION:
This consensus exercise provides a common set of indicators to support benchmarking and quality improvement programs for critical care populations in LMICs
Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
"Watch Me Grow- Electronic (WMG-E)" surveillance approach to identify and address child development, parental mental health, and psychosocial needs : study protocol
Background: The COVID-19 pandemic and the associated economic recession has increased parental psychosocial stress and mental health challenges. This has adversely impacted child development and wellbeing, particularly for children from priority populations (culturally and linguistically diverse (CALD) and rural/regional communities) who are at an already increased risk of health inequality. The increased mental health and psychosocial needs were compounded by the closure of in-person preventive and health promotion programs resulting in health organisations embracing technology and online services. Watch Me Grow- Electronic (WMG-E) â developmental surveillance platform- exemplifies one such service. WMG-E was developed to monitor child development and guide parents towards more detailed assessments when risk is identified. This Randomised Controlled Trial (RCT) aims to expand WMG-E as a digital navigation tool by also
incorporating parentsâ mental health and psychosocial needs. Children and families needing additional assessments and supports will be electronically directed to relevant resources in the âcare-as-usualâ group. In contrast, the
intervention group will receive continuity of care, with additional in-person assessment and âwarm hand overâ by a âservice navigatorâ to ensure their needs are met. Methods: Using an RCT we will determine: (1) parental engagement with developmental surveillance; (2) access to services for those with mental health and social care needs; and (3) uptake of service recommendations. Three hundred parents/carers of children aged 6 months to 3 years (recruited from a culturally diverse, or rural/regional site) will be randomly allocated to the âcare-as-usualâ or âinterventionâ group. A mixed methods implementation evaluation will be completed, with semi-structured interviews to ascertain the acceptability, feasibility and impact of the WMG-E platform and service navigator. Conclusions: Using WMG-E is expected to: normalise and de-stigmatise mental health and psychosocial screening; increase parental engagement and service use; and result in the early identification and management of child developmental needs, parental mental health, and family psychosocial needs. If effective, digital solutions such as WMG-E to engage and empower parents alongside a service navigator for vulnerable families needing additional support, will have significant practice and policy implications in the pandemic/post pandemic period. Trial registration: The trial (Protocol No. 1.0, Version 3.1) was registered with ANZCTR (registration number: ACTRN12621000766819) on July 21st, 2021 and reporting of the trial results will be according to recommendations in the CONSORT Statement
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Exploring Radio Frequency Techniques for Bone Fracture Detection: A Comprehensive Review of Low Frequency and Microwave Approaches
YesThis comprehensive review paper examines bone fracture detection techniques based on time-domain low-frequency and microwave radiofrequency (RF). Early and accurate diagnosis of bone fractures remains critical in healthcare, as it can significantly improve patient outcomes. This review focuses on the potential of low-frequency and microwave RF methods, particularly their combination and application of time-domain analysis for enhanced fracture detection. We begin by providing an overview of the fundamental concepts of RF techniques and then by examining biological tissues' dielectric properties. We then compare the advantages and limitations of various bone fracture detection techniques, such as low-frequency RF methods, microwave RF methods, ultrasonography, X-ray, and CT scans. The discussion then shifts to hybrid approaches that combine low-frequency and microwave techniques, emphasising the advantages of such combinations in fracture detection. Machine learning techniques, their applications in bone fracture detection, and the role of time-domain analysis in hybrid approaches are also investigated.
Finally, we examine the accuracy and reliability of simulated models for bone fracture detection. We discuss recent advancements and future directions, such as novel sensor technologies, improved signal processing techniques, integration with medical imaging modalities, and personalised fracture detection approaches. This review aims to comprehensively understand the landscape and future potential of time-domain analysis in low-frequency and microwave RF techniques for bone fracture detection.EU Horizon Europe H2020-MSCA-RISE-2022-2027 (ID: 101086492) and H2020-MSCA-RISE-2019-2024 (ID 872878), Marie SkĆodowska-Curie, Research and Innovation Staff Exchange (RISE), and the financial support from the UK Engineering and Physical Sciences Research Council (EPSRC) under grant EP/ X039366/1
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