Private Sector Corporate Governance and Singaporean Government Linked Corporations

This article examines aspects of corporate governance in Singaporean public sector. Most government linked corporation in Singapore have performed well. In addition these corporations have been largely successful in combating corruption. Corruption has in recent years resulted in the collapse of some large private sector corporations such as Enron Energy and HIH Insurance. This paper suggests that large multinationals can benefit from governance strategies employed by the Singaporean public sector corporations. Although the principal-agent problem is often stated in the context of private sector corporate governance, this paper discusses the problem within the public sector

Curcuma zedoaria Extract as a Potential Protective Agent against Doxorubicin-Induced Toxicities in Rats

DOX therapy as an anticancer agent by incorporation of either physical treatments or antioxidant supplementation. Curcuma zedoaria (Rosc) (family Zingiberaceae) is an indigenous plant with antioxidant and anticarcinogenic activity. This study investigates the potential protective activities of an ethanol extract from Curcuma zedoaria (CZE) against DOX toxicities on non-target organs. A total of 50 female Wistar rats were divided into five groups: control group (G1), DOX only (G2), CZE 350 mg/kg + DOX (G3), CZE 525 mg/kg + DOX (G4), and Vit E + DOX (G5). Daily administration of CZE was given intra-gastric for 30 days, while 5 mg/kg DOX was injected concomitantly each on days 7, 14, and 21. The results of blood biochemical analysis indicated that administration of either the single or multiple doses of DOX (G2) caused significant elevation in the blood levels of alanine aminotransferase (ALT), aminotransferase (AST), creatinine, and CK-MB, indicating that the tissue damages occurred in the liver, kidney, and heart. Treatments with CZE demonstrated that ALT, AST, creatinine, and CK-MB levels remained similar to baseline levels, or no elevation was observed in all groups (G3 and G4). The oral administration of CZE in doses of 350 mg/kg and 525 mg/kg also decreased the AST/ALT ratio independent of the dose given. However, 350 mg/kg CZE indicated a faster response to protecting activities than other treatments. In conclusion, administration of a Curcuma zedoaria (Berg.) Roscoe ethanol extract, particularly in the 350 mg/kg dose, can potentially prevent or reduce DOX's toxicities in the liver, kidney, and cardiac cells

Crafting spaces for good water governance in Pakistan

https://agupubs.onlinelibrary.wiley.com/doi/full/10.1029/2021WR031265Published versio

Fluvial–Eolian Interactions In Sediment Routing and Sedimentary Signal Buffering: An Example From the Indus Basin and Thar Desert

Sediment production and its subsequent preservation in the marine stratigraphic record offshore of large rivers are linked by complex sediment-transfer systems. To interpret the stratigraphic record it is critical to understand how environmental signals transfer from sedimentary source regions to depositional sinks, and in particular to understand the role of buffering in obscuring climatic or tectonic signals. In dryland regions, signal buffering can include sediment cycling through linked fluvial and eolian systems. We investigate sediment-routing connectivity between the Indus River and the Thar Desert, where fluvial and eolian systems exchanged sediment over large spatial scales (hundreds of kilometers). Summer monsoon winds recycle sediment from the lower Indus River and delta northeastward, i.e., downwind and upstream, into the desert. Far-field eolian recycling of Indus sediment is important enough to control sediment provenance at the downwind end of the desert substantially, although the proportion of Indus sediment of various ages varies regionally within the desert; dune sands in the northwestern Thar Desert resemble the late Holocene–Recent Indus delta, requiring short transport and reworking times. On smaller spatial scales (1–10 m) along fluvial channels in the northern Thar Desert, there is also stratigraphic evidence of fluvial and eolian sediment reworking from local rivers. In terms of sediment volume, we estimate that the Thar Desert could be a more substantial sedimentary store than all other known buffer regions in the Indus basin combined. Thus, since the mid-Holocene, when the desert expanded as the summer monsoon rainfall decreased, fluvial–eolian recycling has been an important but little recognized process buffering sediment flux to the ocean. Similar fluvial–eolian connectivity likely also affects sediment routing and signal transfer in other dryland regions globally.This is the publisher’s final pdf. The published article is copyrighted by the Society for Sedimentary Geology and can be found at: http://sepm.org/pages.aspx?pageid=11

Lymphocryptovirus infection of nonhuman primate b cells converts destructive into productive processing of the pathogenic CD8 T Cell epitope in myelin oligodendrocyte glycoprotein

Copyright © 2016 by The American Association of Immunologists, Inc. EBVis the major infectious environmental risk factor for multiple sclerosis (MS), but the underlying mechanisms remain obscure. Patient studies do not allow manipulation in vivo. We used the experimental autoimmune encephalomyelitis (EAE) models in the common marmoset and rhesus monkey to model the association of EBVand MS.We report that B cells infected with EBV-related lymphocryptovirus (LCV) are requisite APCs for MHC-E-restricted autoaggressive effector memory CTLs specific for the immunodominant epitope 40-48 of myelin oligodendrocyte glycoprotein (MOG). These T cells drive the EAE pathogenesis to irreversible neurologic deficit. The aim of this study was to determine why LCV infection is important for this pathogenic role of B cells. Transcriptome comparison of LCV-infected B cells and CD20+ spleen cells from rhesus monkeys shows increased expression of genes encoding elements of the Ag cross-presentation machinery (i.e., of proteasome maturation protein and immunoproteasome subunits) and enhanced expression of MHC-E and of costimulatory molecules (CD70 and CD80, but not CD86). It was also shown that altered expression of endolysosomal proteases (cathepsins) mitigates the fast endolysosomal degradation of the MOG40-48 core epitope. Finally, LCV infection also induced expression of LC3-II+ cytosolic structures resembling autophagosomes, which seem to form an intracellular compartment where theMOG40-48 epitope is protected against proteolytic degradation by the endolysosomal serine protease cathepsin G. In conclusion, LCV infection induces a variety of changes in B cells that underlies the conversion of destructive processing of the immunodominant MOG40-48 epitope into productive processing and cross-presentation to strongly autoaggressive CTLs

VOTING BEHAVIOR IN 2022 NATIONAL ELECTION: A CAUSAL-COMPARATIVE AND CORRELATIONAL STUDY

The core of this study is the voting behavior of college students in the 2022 elections. It made use of the causal-comparative and correlational research designs to compare the voting behaviors of the respondents in terms of age and sex, and to determine the strength and direction of the relationship between the variable characteristics of the political candidates and the variable political process with respect to their influence on voting behavior. It included as respondents 41 purposively chosen Social Studies students of Notre Dame of Midsayap College. They were 18 to 23 years old, mostly females, and were all registered voters. Data were gathered through an online survey. Findings revealed that having a degree was considered by the respondents as a very important personal characteristic for the presidential and vice-presidential candidates, while being a member of a well-known family was considered by them as unimportant. Being honest and trustworthy was also considered by the respondents as a very important leadership characteristic for the said candidates. Meanwhile, being clear in their priorities is a political process that is very much likely to influence the respondents in choosing their president and vice-president while the giving of money or goods to voters is unlikely to influence them. Similarly, candidates being talked about in their locality is a political process that is likely to influence the respondents in choosing those candidates. The endorsement of candidates by a local leader is a political process that is likely to influence them in choosing those candidates, while endorsement by a church is very unlikely to influence them. Results bared that there is no significant difference on the voting behavior of the respondents with respect to their age and sex. Finally, there is a moderately strong positive relationship between the characteristics of the political candidates and the political process as to their influence on the voting behavior of the respondents, and such a relationship is highly significant.  Article visualizations

Whole-body MRI compared with standard pathways for staging metastatic disease in lung and colorectal cancer: the Streamline diagnostic accuracy studies.

BACKGROUND: Whole-body magnetic resonance imaging is advocated as an alternative to standard pathways for staging cancer. OBJECTIVES: The objectives were to compare diagnostic accuracy, efficiency, patient acceptability, observer variability and cost-effectiveness of whole-body magnetic resonance imaging and standard pathways in staging newly diagnosed non-small-cell lung cancer (Streamline L) and colorectal cancer (Streamline C). DESIGN: The design was a prospective multicentre cohort study. SETTING: The setting was 16 NHS hospitals. PARTICIPANTS: Consecutive patients aged ≥ 18 years with histologically proven or suspected colorectal (Streamline C) or non-small-cell lung cancer (Streamline L). INTERVENTIONS: Whole-body magnetic resonance imaging. Standard staging investigations (e.g. computed tomography and positron emission tomography-computed tomography). REFERENCE STANDARD: Consensus panel decision using 12-month follow-up data. MAIN OUTCOME MEASURES: The primary outcome was per-patient sensitivity difference between whole-body magnetic resonance imaging and standard staging pathways for metastasis. Secondary outcomes included differences in specificity, the nature of the first major treatment decision, time and number of tests to complete staging, patient experience and cost-effectiveness. RESULTS: Streamline C - 299 participants were included. Per-patient sensitivity for metastatic disease was 67% (95% confidence interval 56% to 78%) and 63% (95% confidence interval 51% to 74%) for whole-body magnetic resonance imaging and standard pathways, respectively, a difference in sensitivity of 4% (95% confidence interval -5% to 13%; p = 0.51). Specificity was 95% (95% confidence interval 92% to 97%) and 93% (95% confidence interval 90% to 96%) respectively, a difference of 2% (95% confidence interval -2% to 6%). Pathway treatment decisions agreed with the multidisciplinary team treatment decision in 96% and 95% of cases, respectively, a difference of 1% (95% confidence interval -2% to 4%). Time for staging was 8 days (95% confidence interval 6 to 9 days) and 13 days (95% confidence interval 11 to 15 days) for whole-body magnetic resonance imaging and standard pathways, respectively, a difference of 5 days (95% confidence interval 3 to 7 days). The whole-body magnetic resonance imaging pathway was cheaper than the standard staging pathway: £216 (95% confidence interval £211 to £221) versus £285 (95% confidence interval £260 to £310). Streamline L - 187 participants were included. Per-patient sensitivity for metastatic disease was 50% (95% confidence interval 37% to 63%) and 54% (95% confidence interval 41% to 67%) for whole-body magnetic resonance imaging and standard pathways, respectively, a difference in sensitivity of 4% (95% confidence interval -7% to 15%; p = 0.73). Specificity was 93% (95% confidence interval 88% to 96%) and 95% (95% confidence interval 91% to 98%), respectively, a difference of 2% (95% confidence interval -2% to 7%). Pathway treatment decisions agreed with the multidisciplinary team treatment decision in 98% and 99% of cases, respectively, a difference of 1% (95% confidence interval -2% to 4%). Time for staging was 13 days (95% confidence interval 12 to 14 days) and 19 days (95% confidence interval 17 to 21 days) for whole-body magnetic resonance imaging and standard pathways, respectively, a difference of 6 days (95% confidence interval 4 to 8 days). The whole-body magnetic resonance imaging pathway was cheaper than the standard staging pathway: £317 (95% confidence interval £273 to £361) versus £620 (95% confidence interval £574 to £666). Participants generally found whole-body magnetic resonance imaging more burdensome than standard imaging but most participants preferred the whole-body magnetic resonance imaging staging pathway if it reduced time to staging and/or number of tests. LIMITATIONS: Whole-body magnetic resonance imaging was interpreted by practitioners blinded to other clinical data, which may not fully reflect how it is used in clinical practice. CONCLUSIONS: In colorectal and non-small-cell lung cancer, the whole-body magnetic resonance imaging staging pathway has similar accuracy to standard staging pathways, is generally preferred by patients, improves staging efficiency and has lower staging costs. Future work should address the utility of whole-body magnetic resonance imaging for treatment response assessment. TRIAL REGISTRATION: Current Controlled Trials ISRCTN43958015 and ISRCTN50436483. FUNDING: This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 23, No. 66. See the NIHR Journals Library website for further project information

Hadrons at high temperature: an update from the FASTSUM collaboration

We present the most recent results from the FASTSUM collaboration for hadron properties at high temperature. This includes the temperature dependence of the light and charmed meson and baryon spectrum, as well as properties of heavy quarkonia. The results are obtained using anisotropic lattices with a fixed scale approach. We also present the status of our next generation gauge ensembles.Comment: 8 pages, 8 figures. Contribution to the XVth Quark Confinement and the Hadron Spectrum, 1-6 August 2022, Stavanger, Norwa

Diabetes and pregnancy:national trends over a 15 year period

Aims/hypothesis: We aimed to examine time trends in national perinatal outcomes in pregnancies complicated by pre-existing type 1 or type 2 diabetes. Methods: We analysed episode-level data on all obstetric inpatient delivery events (live or stillbirth) between 1 April 1998 and 31 March 2013 (n = 813,921) using the Scottish Morbidity Record (SMR02). Pregnancies to mothers with type 1 (n = 3229) and type 2 (n = 1452) diabetes were identified from the national diabetes database (Scottish Care Information-Diabetes), and perinatal outcomes were compared among women with type 1 diabetes, type 2 diabetes and those without diabetes. Results: The number of pregnancies complicated by diabetes increased significantly, by 44% in type 1 diabetes and 90% in type 2 diabetes, across the 15 years examined, to rates of 1 in 210 and 1 in 504 deliveries, respectively. Compared with women without diabetes, delivery occurred 2.6 weeks earlier (type 1 diabetes 36.7 ± 2.3 weeks) and 2 weeks earlier (type 2 diabetes 37.3 ± 2.4 weeks), respectively, showing significant reductions for both type 1 (from 36.7 weeks to 36.4 weeks, p = 0.03) and type 2 (from 38.0 weeks to 37.2 weeks, p < 0.001) diabetes across the time period. The proportions of preterm delivery were markedly increased in women with diabetes (35.3% type 1 diabetes, 21.8% type 2 diabetes, 6.1% without diabetes; p < 0.0001), and these proportions increased with time for both groups (p < 0.005). Proportions of elective Caesarean sections (29.4% type 1 diabetes, 30.5% type 2 diabetes, 9.6% without diabetes) and emergency Caesarean sections (38.3% type 1 diabetes, 29.1% type 2 diabetes, 14.6% without diabetes) were greatly increased in women with diabetes and increased over time except for stable rates of emergency Caesarean section in type 1 diabetes. Gestational age-, sex- and parity-adjusted z score for birthweight (1.33 ± 1.34; p < 0.001) were higher in type 1 diabetes and increased over time from 1.22 to 1.47 (p < 0.001). Birthweight was also increased in type 2 diabetes (0.94 ± 1.34; p < 0.001) but did not alter with time. There were 65 perinatal deaths in offspring of mothers with type 1 diabetes and 39 to mothers with type 2 diabetes, representing perinatal mortality rates of 20.1 (95% CI 14.7, 24.3) and 26.9 (16.7, 32.9) per 1000 births, respectively, and rates 3.1 and 4.2 times, respectively, those observed in the non-diabetic population (p < 0.001). Stillbirth rates in type 1 and type 2 diabetes were 4.0-fold and 5.1-fold that in the non-diabetic population (p < 0.001). Perinatal mortality and stillbirth rates showed no significant fall over time despite small falls in the rates for the non-diabetic population. Conclusions/interpretation: Women with diabetes are receiving increased intervention in pregnancy (earlier delivery, increased Caesarean section rates), but despite this, higher birthweights are being recorded. Improvements in rates of stillbirth seen in the general population are not being reflected in changes in stillbirth or perinatal mortality in our population with diabetes

Coronary artery disease, left ventricular hypertrophy and diastolic dysfunction are associated with stroke in patients affected by persistent non-valvular atrial fibrillation: a case-control study

Persistent non-valvular atrial fibrillation (NVAF) is associated with an increased risk of cardiovascular events such as stroke, and its rate is expected to rise because of the ageing population. The absolute rate of stroke depends on age and comorbidity. Risk stratification for stroke in patients with NVAF derives from populations enrolled in randomized clinical trials. However, participants in clinical trials are often not representative of the general population. Many stroke risk stratification scores have been used, but they do not include transthoracic echocardiogram (TTE), pulsate wave Doppler (PWD) and tissue Doppler imaging (TDI), simple and non- invasive diagnostic tools. The role of TTE, PWD and TDI findings has not been previously determined. Our study goal was to determine the association between TTE and PWD findings and stroke prevalence in a population of NVAF prone outpatients