China’s One-Belt-One-Road (OBOR) Policy Initiative: The Internationalization of the Renminbi

The last decade having witnessed China’s meteoric resurgence has created a paradigm shift that has resulted into not only a massive structural adjustment, but also caused a shift in attention of international relations discourse towards itself. It is partly in respect of the rise and the tailoring of the One-Belt-One-Road policy that this academic research is conducted. Using much of secondary data, the thrust of this study is to examine the impact of the policy and its potential, particularly, in relations to its contributory prowess to the monetary system of china and also, its immense spread effect in contributing to the internationalization of the renminbi. Using the Strength, Weaknesses, Opportunities and Threats (SWOT) model, holding the strengths and opportunities which are internal on one side and holding the weaknesses and threats which are extraneous on the other side, the model conclusively asserts that, capitalizing on the strengths and opportunities will help Beijing override the threats and the weaknesses to turbo-charge the Chinese Renminbi currency into internationalization heights whiles same time helping to rake in social, political and economic benefits including the ability to create the strategic position not only in Eurasia, but in other part of the world. Keywords: One-Belt-One-Road (OBOR), Belt and road initiative (BRI), Renminbi (RMB), Internationalization, Strengths, Weaknesses, Opportunities, Threats (SWOT)

Using technology acceptance model to measure the use of social media for collaborative learning in Ghana

In this Digital era, thousands of teens in the universities use social network sites; it has become a way of life. Social Media Usage has recently received numerous debates in its impact on academics, with its advent, communities have become link to each other, but the lecture room still remains quite isolated, from other teachers, students, and a host of others who could potentially enhance learning. This study aimed at investigating the impact of social media usage on students’ academic performance through collaborative learning among university students in Ghana. Based Davis, Bagozzi & Warshaw (1989), Technology Acceptance Model (TAM), a conceptual framework was adopted for the study. To achieve the objectives, a quantitative data analysis method was employed. A total of 200 students were randomly surveyed for the study. Regression analysis revealed that, Interaction with peers, perceived ease of use and perceived usefulness had a significant positive relationship with collaborative learning. Furthermore, results suggested that there exist a significant mediation effects on the relationship between social media usage dimensions and academic performance. TAM does not take into account environment or economic factors that may influence a person’s intention to perform a behavior. The study recommends a clear mobile learning methodologies, rules and policies for integrating student activities on social media into their final gradesPeer Reviewe

Barriers to Accessing Sanitation Facilities in Aboabo, Ghana

The main purpose of this study is to identify and discuss the specific factors that impede access to sanitation facilities in Aboabo urban slum in the Asokore-Mampong Municipal Area of Ghana. A qualitative approach was employed for the study. Data for this study was from both primary and secondary sources. Review of documents, interviews and observations were used to gather the data. Findings from the study suggested that, inadequate income to acquire private household toilet facilities, inadequate space in the homes for toilets, high user fees to use public toilets, low level of education and unhygienic toilet facilities were identified as obstacles preventing access to sanitation facilities in the urban slum. The findings of this study could apprise city authorities and policy makers to find solutions to sanitation in the Aboabo community. Keywords: Poor sanitation, Sanitation facilities, Barriers, Access, Aboabo

Barriers to Innovation and Public Policy in Sub-Sahara Africa

Countries in sub-Sahara Africa are increasingly becoming aware of the role of Science, Technology and Innovation (STI) in lifting the region from the doldrums of poverty and deprivation. This is necessary if the continent aims to add value to its raw material in order to remain competitive in the global market and at the same time diversify the structure of its economies.  This paper aims to explore policies on STI implemented across countries in the region and how these policies have managed to change the status quo and ultimately led to building technological capability economies to enhance the wellbeing of the region.The paper primarily focuses on countries within sub-Sahara Africa excluding North Africa and the Middle East. However, comparisons are occasionally drawn from certain countries in the west and emerging economies.The paper systematically reviews national science, technology and innovation plans of selected countries in sub-Sahara Africa. Other secondary sources included credible journal articles, commentary, webpages, working papers and reports published on the selected countries.Empirical evidence gathered from secondary sources indicate that governments in the region have built public organizations and institutions to support STI. Yet technology-capability indicators available illustrates the results are far from expectation. The paper further discusses the barriers faced by governments in the design and implementation of STI policies that have led to the ensuing situation.In the face of the significant progress in setting up institutional frameworks across countries in the region leading to the adoption of a systemic approach, the ensuing results of STI policies in the region is marginal as evidenced in the indicators. Human and financial resources devoted to them are in shortfall. We admonish countries in the region to take all the necessary steps to develop national evaluation and STI data stand. The success of this approach will be contingent on the region first of all being able to evolve a specific conceptual and methodological tools for monitoring and assessing STI policies. Area of financing STI policies have to be reconsidered. Tax incentives and havens for technology related businesses ought to be given priority to augment already existing instruments such as export-led instruments. Keywords: Barriers; Sub-Sahara Africa; Policy, Science and Technology and Innovation (STI); Entrepreneurship

The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Prophylactic antibiotics for preventing genital tract infection in women undergoing surgical procedures for incomplete abortion: a systematic review and meta-analysis of randomized controlled trials.

Findings about the effect of prophylactic antibiotics in preventing genital tract infection (GTI) associated with surgical procedures used for incomplete abortions are conflicting. Some reported a decrease in infection associated with the use of antibiotic prophylaxis, while others found no significant reduction in GTI. To systematically synthesize the evidence on the effect of prophylactic antibiotics compared to placebo in women undergoing surgical procedures for incomplete abortion. In February 2020, PubMed, Embase and Cochrane Central for Register of Controlled Trials were searched for relevant published randomized controlled trials. Randomized controlled trials reporting GTI following surgical procedures for incomplete abortion and comparing antibiotic prophylaxis against placebo. Meta-analysis using inverse variance heterogeneity model included a-priori determined subgroup and sensitivity analyses were conducted. The quality of evidence was assessed using GRADE. A total of 16,178 women who participated in 24 eligible randomized controlled trials published between 1975 and 2019 were included. Pooled estimates showed the risk of GTI following surgical procedures after incomplete abortion was significantly lower among those who had prophylactic antibiotics (RR=0.72; 95%CI 0.58-0.90; I =49%). There was no significant effect of antibiotics in women in low and middle income countries (3 studies, 3,579 participants, RR= 0.90; 95%CI 0.50-1.62; I =63%), while it was clinically and statistically significant among women high income countries (21 studies, 12,599 participants, RR=0.67; 95%CI 0.53-0.84; I =44%), with strong level of evidence as assessed by GRADE. This study provides evidence that antibiotic prophylaxis is beneficial in reducing post-abortion GTI among women undergoing surgical procedures for incomplete abortion. More studies are needed from low and middle income countries

Using technology acceptance model to measure the ese of social media for collaborative learning in Ghana

In this Digital era, thousands of teens in the universities use social network sites, it has become a way of life. Social Media Usage has recently received numerous debate in its impact on academics, with its advent, communities have become link to each other, but the lecture room still remains quite isolated, from other teachers, students, and a host of others who could potentially enhance learning. This study aimed at investigating the impact of social media usage on students’ academic performance through collaborative learning among university students in Ghana. (Based Davis et al,. 1989) Technology Acceptance Model (TAM), a conceptual framework was adopted for the study. To achieve the objectives, a quantitative data analysis method was employed. A total of 200 students were randomly surveyed for the study.  Regression analysis revealed that, Interaction with peers, perceived ease of use and perceived usefulness had a significant positive relationship with collaborative learning. Furthermore, results suggested that there exist a significant mediation effects on the relationship between social media usage dimensions and academic performance. TAM does not take into account environment or economic factors that may influence a person’s intention to perform a behavior. The study recommends a clear mobile learning methodologies, rules and policies for integrating student activities on social media into their final grades

Using technology acceptance model to measure the use of social media for collaborative learning in Ghana

In this Digital era, thousands of teens in the universities use social network sites; it has become a way of life. Social Media Usage has recently received numerous debates in its impact on academics, with its advent, communities have become link to each other, but the lecture room still remains quite isolated, from other teachers, students, and a host of others who could potentially enhance learning. This study aimed at investigating the impact of social media usage on students’ academic performance through collaborative learning among university students in Ghana. Based Davis, Bagozzi & Warshaw (1989), Technology Acceptance Model (TAM), a conceptual framework was adopted for the study. To achieve the objectives, a quantitative data analysis method was employed. A total of 200 students were randomly surveyed for the study. Regression analysis revealed that, Interaction with peers, perceived ease of use and perceived usefulness had a significant positive relationship with collaborative learning. Furthermore, results suggested that there exist a significant mediation effects on the relationship between social media usage dimensions and academic performance. TAM does not take into account environment or economic factors that may influence a person’s intention to perform a behavior. The study recommends a clear mobile learning methodologies, rules and policies for integrating student activities on social media into their final grade

Impact of the COVID-19 pandemic on patients with paediatric cancer in low-income, middle-income and high-income countries: a multicentre, international, observational cohort study

OBJECTIVES: Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children in high-income countries (HICs). This study aimed to test the hypothesis that the COVID-19 pandemic had affected the delivery of healthcare services worldwide, and exacerbated the disparity in paediatric cancer outcomes between LMICs and HICs. DESIGN: A multicentre, international, collaborative cohort study. SETTING: 91 hospitals and cancer centres in 39 countries providing cancer treatment to paediatric patients between March and December 2020. PARTICIPANTS: Patients were included if they were under the age of 18 years, and newly diagnosed with or undergoing active cancer treatment for Acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, Wilms' tumour, sarcoma, retinoblastoma, gliomas, medulloblastomas or neuroblastomas, in keeping with the WHO Global Initiative for Childhood Cancer. MAIN OUTCOME MEASURE: All-cause mortality at 30 days and 90 days. RESULTS: 1660 patients were recruited. 219 children had changes to their treatment due to the pandemic. Patients in LMICs were primarily affected (n=182/219, 83.1%). Relative to patients with paediatric cancer in HICs, patients with paediatric cancer in LMICs had 12.1 (95% CI 2.93 to 50.3) and 7.9 (95% CI 3.2 to 19.7) times the odds of death at 30 days and 90 days, respectively, after presentation during the COVID-19 pandemic (p<0.001). After adjusting for confounders, patients with paediatric cancer in LMICs had 15.6 (95% CI 3.7 to 65.8) times the odds of death at 30 days (p<0.001). CONCLUSIONS: The COVID-19 pandemic has affected paediatric oncology service provision. It has disproportionately affected patients in LMICs, highlighting and compounding existing disparities in healthcare systems globally that need addressing urgently. However, many patients with paediatric cancer continued to receive their normal standard of care. This speaks to the adaptability and resilience of healthcare systems and healthcare workers globally