Microfinance Institutions of Bangladesh: The Effects of Credit Risk Management on Credit Performance

The main aim of this study is to investigate the effects of credit risk management on the credit performance of microfinance institutions in Bangladesh. For this purpose, an econometric model with a cross-sectional dataset has been taken into account. The primary data is collected from125 officers of 35 microfinance institutions in Bangladesh. Multiple variables namely, credit policy, credit terms, credit appraisals process, credit risk control, credit collection procedures and Institutional factor have been adopted as the components of credit risk management. The data has been collected using a structured questionnaire completed by microfinance institutions officers of different levels in Bangladesh. The study reveals that credit policy, credit risk control, credit collection procedures and Institutional factor have positive effects on credit performance, and they are statistically significant at 5%, 10%, 1% and 1% levels respectively; while credit terms and credit appraisals process have positive but insignificant effects on the credit performance of microfinance institutions. The empirical findings will support the policymakers in restructuring their overall credit risk management strategies to improve and sustainable credit performance. Keywords: Competition, Overlapping credit, Institutional factor, Effects, Insolvenc

Effects of accelerated versus standard care surgery on the risk of acute kidney injury in patients with a hip fracture : A substudy protocol of the hip fracture Accelerated surgical TreaTment and Care tracK (HIP ATTACK) international randomised controlled trial

Introduction Inflammation, dehydration, hypotension and bleeding may all contribute to the development of acute kidney injury (AKI). Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. Methods and analysis Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. The primary outcome of this substudy is the development of AKI within 7 days of randomisation. We anticipate at least 1998 patients will participate in this substudy. Ethics and dissemination We obtained ethics approval for additional serum creatinine recordings in consecutive patients enrolled at 70 participating centres. All patients provide consent before randomisation. We anticipate reporting substudy results by 2021. Trial registration number NCT02027896; Pre-results

Effects of accelerated versus standard care surgery on the risk of acute kidney injury in patients with a hip fracture : a substudy protocol of the hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) international randomised controlled trial

Introduction Inflammation, dehydration, hypotension and bleeding may all contribute to the development of acute kidney injury (AKI). Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. Methods and analysis Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. The primary outcome of this substudy is the development of AKI within 7 days of randomisation. We anticipate at least 1998 patients will participate in this substudy. Ethics and dissemination We obtained ethics approval for additional serum creatinine recordings in consecutive patients enrolled at 70 participating centres. All patients provide consent before randomisation. We anticipate reporting substudy results by 2021. Trial registration number NCT02027896; Pre-results

Rationale and design of the hip fracture accelerated surgical treatment and care track (hip attack) trial : A protocol for an international randomised controlled trial evaluating early surgery for hip fracture patients

Introduction Annually, millions of adults suffer hip fractures. The mortality rate post a hip fracture is 7%-10% at 30 days and 10%-20% at 90 days. Observational data suggest that early surgery can improve these outcomes in hip fracture patients. We designed a clinical trial - HIP fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) to determine the effect of accelerated surgery compared with standard care on the 90-day risk of all-cause mortality and major perioperative complications. Methods and analysis HIP ATTACK is a multicentre, international, parallel group randomised controlled trial (RCT) that will include patients ≥45 years of age and diagnosed with a hip fracture from a low-energy mechanism requiring surgery. Patients are randomised to accelerated medical assessment and surgical repair (goal within 6 h) or standard care. The co-primary outcomes are (1) all-cause mortality and (2) a composite of major perioperative complications (ie, mortality and non-fatal myocardial infarction, pulmonary embolism, pneumonia, sepsis, stroke, and life-threatening and major bleeding) at 90 days after randomisation. All patients will be followed up for a period of 1 year. We will enrol 3000 patients. Ethics and dissemination All centres had ethics approval before randomising patients. Written informed consent is required for all patients before randomisation. HIP ATTACK is the first large international trial designed to examine whether accelerated surgery can improve outcomes in patients with a hip fracture. The dissemination plan includes publishing the results in a policy-influencing journal, conference presentations, engagement of influential medical organisations, and providing public awareness through multimedia resources. Trial registration number NCT02027896; Pre-results

Assessment of literature growth in Anthropometric measurement research: A bibliometric analyses of Scopus indexed publications

Purpose: To evaluate the global published literature in anthropometric measurement research between 1971-2021. Anthropometry is the study of the size and shape of the human body generally refers to the measurements and data used to characterize the size of human users. Method: Scientometric and bibliometric tools applied to analyze the research published indexed in the Scopus database. The study focused on indices, namely annual research growth, impactful author, relevant source, country collaboration, productive organization, country, etc. MS Excel, Bibexcel, RStudio (Biblioshiny), Scientopy, CiteSpace, and VOSviewer are used for the quantitative analysis. Results: There is steady growth in the literature of 483 from 1971 till date. 2020 was the most productive year with 58 publications, more than thirteen hundred authors participated in the research, and three authored collaborations were found more popular. The journal articles are the most preferred form. Applied Ergonomics recorded as the highly impactful source, and the USA observed as the most productive country. The \u27National natural science foundation of China\u27 represented as the most active and potent funding agenc

Accelerated surgery versus standard care in hip fracture (HIP ATTACK-1) : a kidney substudy of a randomized clinical trial

To the Editor: Acute kidney injury (AKI) is a lesser-known complication of hip fracture that may come about owing to decreased kidney perfusion and heightened inflammation from trauma, pain, bleeding, and fasting. Approximately 15%-20% of patients undergoing surgery for a hip fracture develop AKI, with 0.5%-1.8% receiving dialysis. [...