Fostering Youth-Led Innovations to Accelerate Progress on the United Nations Sustainable Development Goals: A Guide for Policy Makers at COP28

In today’s world, to address the most pressing global challenges, education must equip all learners with the values, skills, and knowledge that nurture cooperation, resilience, respect for diversity, gender justice, and human rights. This concept is called Global Citizenship Education which is a target of the Sustainable Development Goal 4 – Quality Education. I commend the Mission 4.7 initiative facilitated by Columbia University’s Center for Sustainable Development, UNESCO, UN SDSN and the Ban Ki-moon Centre for Global Citizens, for playing a pivotal role in addressing SDG Target 4.7 and on the release of the “Fostering Youth-led Innovations to Accelerate Progress on the United Nations Sustainable Development Goals: A Guide for Policymakers at COP28. The report recommends that policymakers create supportive environments for youth innovators by establishing or opening innovation hubs, incubators, and accelerators for young individuals. A key element is the renewed emphasis on integrating global citizenship and systems thinking into school curricula to foster sustainable development. Global Citizenship Education and youth empowerment is essential for a better future, I hope that this report contributes to shaping the agenda on SDG Target 4.7 at COP28 and beyond. H.E. Ban Ki-moon8th Secretary-General, United Nations Co-chair, Mission 4.7Co-chair, Ban Ki-moon Centre for Global Citizen

Electrocatalytic reduction of CO2 to CO by a series of organometallic Re(I)-tpy complexes

A series of organometallic Re(I)(L)(CO)3Br complexes with 4'-substituted terpyridine ligands (L) has been synthesised as electrocatalysts for CO2 reduction. The complexes' spectroscopic characterisation and computationally optimised geometry demonstrate a facial geometry around Re(I) with three cis COs and the terpyridine ligand coordinating in a bidentate mode. The effect of substitution on the 4'-position of terpyridine (Re1–5) on CO2 electroreduction was investigated and compared with a known Lehn-type catalyst, Re(I)(bpy)(CO)3Br (Re7). All complexes catalyse CO evolution in homogeneous organic media at moderate overpotentials (0.75–0.95 V) with Faradaic yields of 62–98%. The electrochemical catalytic activity was further evaluated in the presence of three Brønsted acids to demonstrate the influence of the pKa of the proton sources. The TDDFT and ultrafast transient absorption spectroscopy (TAS) studies showed combined charge transfer bands of ILCT and MLCT. Amongst the series, the Re-complex containing ferrocenyl substituted terpyridine ligand (Re5) shows an additional intra-ligand charge transfer band and was probed using UV-Vis spectroelectrochemistry

Abstracts of Scientifica 2022

This book contains the abstracts of the papers presented at Scientifica 2022, Organized by the Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India, held on 12–13 March 2022. This conference helps bring researchers together across the globe on one platform to help benefit the young researchers. There were six invited talks from different fields of Physiotherapy and seven panel discussions including over thirty speakers across the globe which made the conference interesting due to the diversity of topics covered during the conference. Conference Title:  Scientifica 2022Conference Date: 12–13 March 2022Conference Location: Sancheti Institute College of PhysiotherapyConference Organizer: Sancheti Institute College of Physiotherapy, Pune, Maharashtra, Indi

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit