19 research outputs found
Drivers of Entrepreneurship: Linking With Economic Growth and Employment Generation (A Panel Data Analysis)
The need for entrepreneurs for economic development has always
been crucial in history because they are the leaders who invent
innovative ideas that give spark to economic activities. They are
responsible for the combination of factors of production by capital
formation, creating employment opportunities, wealth distribution that
facilitates development and growth. A well explained definition of
entrepreneurship in the words of Wennekers and Thurik (1999) that
successfully makes the functional roles of entrepreneurs is: “…the
manifest ability and willingness of individuals, on their own, in teams
within and outside existing organisations, to perceive and create new
economic opportunities (new products, new production methods, new
organisational schemes and new product-market combinations) and to
introduce their ideas in the market, in the face of uncertainty and
other obstacles, by making decisions on location, form and the use of
resources and institutions.” (46–47) High and sustained economic growth
is the fundamental objective of every developed or developing country’s
governmental policy. Economic growth is a long term expansion of the
productive potential of the economy. It generates employment in the
economy and raises the living standards of the nation. Economic growth
promotes business activities in private sector, increases company
profits and enhances investor confidence
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
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world.
Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231.
Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001).
Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication
Exploring the Elements of Magic Realism in American Literature with Reference to the Works of Gabriel García Márquez In, Particularly “One Hundred Years of Solitude.”
This research paper examines how Colombian author Gabriel Garcia Márquez employs magic realism in his writings. This essay will look at the literary representations of reality and dreams in the twenty-first century. He used this strategy to create a plausible scenario that is influenced by Columbian culture in the book One Hundred Years of Solitude. The author wants to raise issues about the absurdity of life and encourage self-actualization. The mythical settlement of Macondo is situated in a realistic environment with some fantastic aspects. This study demonstrates how magic realism psychoanalysis may address some of the most challenging and important subjects in literature
An Efficient, Mild and Solvent-Free Synthesis of Benzene Ring Acylated Harmalines
A facile synthesis of a series of benzene ring acylated analogues of harmaline has been achieved by Friedel-Crafts acylation under solvent-free conditions at room temperature using acyl halides/acid anhydrides and AlCl3. The reaction afforded 10- and 12-acyl analogues of harmaline in good yield, along with minor quantities of N-acyl-tryptamines and 8-acyl analogues of N-acyltryptamines
Nutritional Treatment of Anaemia as Compare to Marketed Available Drug (Ferrous Sulfate) in Animal Model
International audienceAim: To study the nutritional treatment of anaemia as compare to marketed available drug (Ferrous sulfate) in animal model. Methodology: Total 24 rats were included in the study, divided into 4 groups. Control group was treated with saline. Anaemia was produced in model and both test groups by pricking on their tail and drawn 2-3 drops of blood daily for one week. After producing anaemia model remained same and test group 1 were treated with the marketed available anti-anaemic drug called Ferrous sulphate of 30 mg/kg body weight and test group 2 treated with natural anti-anaemic Illicium verum extract of 80 mg/kg body weight for 6 weeks respectively. Result: Illicium verum extract increases locomotor activity in T2 rats therefore; rats open field activity was increased. It decreases depression and long-term memory but enhanced short term memory. It also produces anxiolytic effect as compare to ferrous sulfate. Haematological study including RBC, PCV, MCHC and platelets were shown significantly increased in T2 group of rats while lymphocyte, MCH and MCV were decreased. Conclusion: It was concluded in the study that the Illicium verum extract produce same effect as common medicine ferrous sulfate on rat's model. In developing country, such as Pakistan the rate of anaemia was increased so there is a need of finding natural compounds to cure anaemia. Natural remedies were vital in modern era because natural compound do not produce side effect