Mitigating Risk of Failure by Expanding Family Entrepreneurship and Learning from International Franchising Experiences of Johnny Rockets: A Case Study in Pakistan

It is generally believed worldwide and backed by research too that startups face a high risk of failure and eight to nine out of ten ideas may not work (Hisrich, Peters, & Shepherd, 2009). However, many experts claim that the situation can turn vice versa for family entrepreneurship (or creative family businesses) and franchise ventures (Francorp, 2016). This exploratory probe aims to discover these two phenomena for Johnny Rockets (JR) Pakistan, which is an international franchise of fast food chain of restaurants, and simultaneously it is a family business extension. Literature is reviewed from four perspectives: family entrepreneurship and business, franchise business, internationalization of companies, and fast food restaurant industry in Pakistan. Primary data is garnered from three sources: in-depth interviews from middle to top management of Johnny Rockets, owners of the franchises, and from its consumers in accordance with phenomenology method and purposive sampling to analyze their lived experiences with JR and its direct rivals. The data analytic techniques comprise thematic analysis and constant comparison. The findings unveil that in the wake of tolerating several difficulties, now Johnny Rockets seems to be on the right path of sustainable growth. The study underpins the notions that family entrepreneurship and franchise ventures enjoy a high probability of success, but it requires an organizational culture of the congenial work environment, and propensity to create a customer-centric modern learning organization, ready to accept trials and errors and continuously innovating its processes and systems

THE ROLE OF PUBLIC INSTITUTIONAL SUPPORT FOR GLOBALIZATION OF PAKISTANI COMPANIES

This study explors the assistance of government institutionsthrough technical capacity-building and financial assistance toward global expansion of Pakistani companies in different sectors. Many companies globalize their operations to enhance their export trade share in the world market. In Pakistan, Ministry of Commerce (MoC) and Trade Development Authority of Pakistan (TDAP) uphold them in various ways. This exploratory probe employs interviews from MoC and TDAP. The feedback is cross checked from globally operating/ expanding companies from top-five export sectors in Pakistan including textile, leather, rice, seafood, and wheat. The findings indicate that the role of public bodies remains limited and undermined

Mitigating Risk of Failure by Expanding Family Entrepreneurship and Learning from International Franchising Experiences of Johnny Rockets: A Case Study in Pakistan

It is generally believed worldwide and backed by research too that startups face a high risk of failure and eight to nine out of ten ideas may not work (Hisrich, Peters, & Shepherd, 2009). However, many experts claim that the situation can turn vice versa for family entrepreneurship (or creative family businesses) and franchise ventures (Francorp, 2016). This exploratory probe aims to discover these two phenomena for Johnny Rockets (JR) Pakistan, which is an international franchise of fast food chain of restaurants, and simultaneously it is a family business extension. Literature is reviewed from four perspectives: family entrepreneurship and business, franchise business, internationalization of companies, and fast food restaurant industry in Pakistan. Primary data is garnered from three sources: in-depth interviews from middle to top management of Johnny Rockets, owners of the franchises, and from its consumers in accordance with phenomenology method and purposive sampling to analyze their lived experiences with JR and its direct rivals. The data analytic techniques comprise thematic analysis and constant comparison. The findings unveil that in the wake of tolerating several difficulties, now Johnny Rockets seems to be on the right path of sustainable growth. The study underpins the notions that family entrepreneurship and franchise ventures enjoy a high probability of success, but it requires an organizational culture of the congenial work environment, and propensity to create a customer-centric modern learning organization, ready to accept trials and errors and continuously innovating its processes and systems

Human Capital is a Competitive Advantage of Businesses: Analysis of Automobile Firms of Pakistan

The purpose of conducting this research is to examine the significance of Human Capital (HC) in automobile sector of Pakistan because leading automobile firms of the world have claimed that HC has major role beyond their success. This is quantitative research which is based on philosophy of positivism. The primary data of this study was collected from management and crucial employees of main Light Transport Vehicle automobile firms of Pakistan. Result of this research indicates that there is strong impact of human capital on firm performance; it performs the function of oxygen in hard-hitting competition where every firm is busy to take a lead in open market. This study is very constructive not only for the automobile industry but this work will also create awareness and need of HC in all manufacturing firms of Pakistan in the scenario of globalization

A Safe Quick Technique for Placement of the First Access Port for Creation of Pneumoperitoneum

The authors recommend a modified open technique in placing the first port when intraabdominal adhesions are expected

Novel Molecular classification of colorectal cancer and correlation with survival

Colorectal cancer (CRC) is one of the most common cancers worldwide. This study was designed to evaluate biological patterns, explore molecular classification and correlate with survival outcome in treatment naïve CRC patients. Methods Over 11 years consecutive series of 435 CRC patients were operated on as primary surgical therapy. A total of 201 CRC patients were included, whose complete set of clinical information was available, and their good quality tumour blocks were retrieved. Immunohistochemistry was used for tumour analysis, and partitional clustering was performed using R software for cluster analysis. Results The median age was 43 (range 10-85) years; adenocarcinoma was the most commonly seen histological type. The great majority had positive CK20, CEA, E-Cadherin, Ki67, CDX2, and p53 expression. There were four distinct molecular classes found, whereas Ki67, CDX2, and p53 play 3 the main role in partitioning. Younger age negatively impacted survival; overall and diseasespecific survival was 26 months only with 50 months’ longest survival. Conclusion Colorectal cancer is a biologically heterogeneous disease with at least four distinct molecular patterns, where cell proliferation and gene repair mechanisms appear to play the key role

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe