Made in Bangladesh

The 2013 Rana Plaza factory collapse in Bangladesh was the worst industrial disaster in modern times and began a turning point for change in the garment sector. This paper will uncover human rights violations such as the exploitation of garment workers, verbal and physical abuse as well as the right for workers to collectively bargain. The paper will begin with a brief background of the Bangladeshi garment sector, then the pressure of the “Fast Fashion” demand for the industry and gender dimensions. It will conclude with remediation efforts from local and international levels from social movements, campaigns, and programs such as The Accord on Fire and Building Safety and The Alliance for Bangladesh Worker Safety. What were the conditions before Rana Plaza? What led to Rana Plaza? And how did Rana Plaza change the industry? These are the questions that will be answered and discussed

The influence of trust, information technology and communication skill on knowledge transfer in MADA (Muda Agricultural Development Authority)

This study was conducted to investigate the influence of trust, information technology and communication skill on knowledge transfer among extension officer in Muda Agricultural Development Authority (MADA). The aim of this study is to identify the relationship of trust, information technology and communication skill towards knowledge transfer. The dependent variable used in this study is knowledge transfer, whereas the independent variables comprises of trust, information technology and communication skill. This study was done through quantitative approach in which questionnaires were used as a medium to collect data. The respondents for this study were MADA extension officer and 113 questionnaires were distributed. The results of the study showed positive significant relationship between information technology and knowledge transfer

Post-Traumatic Syringomyelia: A Case Series

It is relatively common to occur in a Tertiary Care Neurosurgical setup to get a case of Syringomyelia proximal or distal to a space-occupying lesion (SOL) or site of spinal cord compression. In this case series, we are presenting two cases in which syringomyelia developed after traumatic spinal cord injury. On initial radiological investigations, the first case presented as an old D12 fracture with Post-traumatic syrinx formation but on complete workup for the extent of the syrinx, another lesion was found incidentally in the form of an intradural extramedullary SOL at the level of cervicomedullary junction. The SOL turned out histologically as WHO Grade I Meningioma. The second case presented as syrinx formation after gunshot (fire-arm) penetrating spinal cord injury to the D11-12 vertebrae. Treatment plans of both these patients are presented here in detail along with the literature review

Renovascular hypertension: factors affecting the outcome following surgical revascularisation

This study was conducted at the Aga Khan University Hospital, Karachi, Pakistan to evaluate factors that affect outcome following revascularisation in patients with renovascular hypertension. We included all the patients diagnosed to have renovascular hypertension, confirmed by renal angiography, between July 1997 and September 2000. Of the total 15 patients, nine were males and six were females. Eleven patients received venous grafts, three received polytetraflouroethyline (PTFE) grafts while one patient underwent angioplasty and stenting. All were followed-up for a period of nine months (median) with the range from 2 to 84 months. A total of 33.3% of the study patients were completely cured, as they became normotensive without anti-hypertensive therapy after operation, while 27% showed marked improvement in blood pressure control post-operatively. Thus, extended cure or improvement of renovascular hypertension was achieved in 60% of patients. Normal pre-operative serum creatinine level, high pre-operative unstimulated peripheral renin levels and renal vein renin ratio of at least 1.75:1 were the most significant predictive factors for favorable outcome (p \u3c 0.012). The pre-operative severity and duration of hypertension as well as degree of disparity in kidney sizes did not predict the post-operative improvement in renal function and blood pressure control

Lumbar Spine Aneurysmal Bone Cyst

An Aneurysmal Bone Cyst (ABC) is a benign, locally aggressive, vascular, and expansile bony tumor of idiopathic etiology containing multiple thin-walled blood-filled channels, mostly diagnosed in pediatric and adolescent age groups. These lesions can cause local pain, pathological fractures, spinal deformity, and neurological deficits. The treatment of choice for ABC is highly debatable according to the literature. The treatment choices are simple curettage and grafting, complete surgical resection with or without prior selective arterial embolization, radiotherapy, or a combination of these procedures according to the case. Each modality is having different outcomes, technical requirements, and complications. We are reporting a case of Aneurysmal Bone Cyst of the lumbar spine in a young patient treated by surgery

A review on assistive tools for autistic patients

Persistent difficulties in social skills and social interaction present significant challenges for individuals diagnosed with autism spectrum disorders (ASD). The current literature review provides a comprehensive investigation of studies focused on assistive tools for deficits in social skills or social interaction in those with ASD. Twelve studies that met the inclusion criteria were chosen. Studies were categorized based on Computer-based Intervention (CBI) and Robot-assisted Behavioral Intervention (RBI). Each study were then evaluated on several aspects. Strengths, limitations and outcomes were discussed. All studies showed positive outcomes

Pre-operative renal function and selective renal vein rennin levels as markers of favourable outcome in renovascular hypertension

Objective: To evaluate factors that affect outcome following revascularization in patients with renovascular hypertension. Methods: This study was conducted at the Aga Khan University Hospital. It included all the patients diagnosed to have Renovascular hypertension confirmed by renal angiography between July 1996 to September 2000. Using ANOVA (Analysis of variance) and paired-sample t-test, several preoperative factors were evaluated for their ability to predict postoperative improvement of blood pressure and renalfunction. For descriptive purpose patients were divided into cured, improved and failure groups. Results: Of the total 15 patients, 9 were males and 6 were females. Before the surgical procedure, 13 patients were on 3 or more antihypertensive drugs. Eleven patients received vein grafts, three patients had PTFE (polytetraflouroethyline) grafts while one patient underwent angioplasty and stenting. The patients had a median follow-up period of nine months with a range of 2 to 84 months. Five were completely cured, as they became normotensive without antihypertensive therapy after operation, whereas four showed marked improvement in BP control postoperatively, requiring two antihypertensive drugs. Six patients showed no improvement requiring 3 or more drugs. Extended cure or improvement of renovascular hypertension was achieved in nine patients. Normal preoperative serum creatinine level, high preoperative unstimulated peripheral renin levels and renal vein renin ratio of at least 1.75:1 were the most significant predictive factors for favorable outcome. Conclusion: This study confirms the long term effectiveness and safety of renovascular reconstruction in the relief of severe hypertension. The results further suggest that normal preoperative renal function, high renal vein renin ratio and high preoperative unstimulated peripheral renin levels are associated with the most favourable postoperative outcome (p \u3c0.01). Preoperative severity and duration of hypertension and degree of disparity in kidney sizes do not affect the overall results in terms of postoperative improvement in renal function and blood pressure control (p=0.734)