Suchergebnisse

Aims: To explore the success, challenges and way forward on genital fistula in Bangladesh. Methods: From the October 2017 to September 2018; total numbers of 125 genital fistula cases were identified through a community network system in Cox's Bazar. Out of them, 101 cases come to hospital for the repair. For each of the patients, details case history was documented, clinical management reports also captured using structured forms. The study performed descriptive analysis using the case history and clinical management data. Results: Out of 101 cases admitted, 95% of cases were of obstetric, 3% iatrogenic, 1% traumatic and remaining 1% was congenital. Mean age was 31 (18-73) years. Mean duration of disease was 6 (0.1-53) Years. Most of them had urinary incontinence (86.1 %) and 11.9% had faecal incontinence where 2% had both. VVF was performed in most of the cases (78%), another 22% was RVF. Only of them 9.9% had complications, remaining discharged without any complications. Mean duration of hospital stay was 17 (4-29) days. Success rate was 86.1% and in 13.9 % of cases next surgery was advised. For all patients psychiatry counseling was given before and after surgery. However, the hospital doesn't provide other rehabilitation or reintegration support, therefore, there was challenge to mainstream the women in the society or secure their social positions. Conclusions: Community surveillance followed by timely referral can improve obstetric fistula burden in Bangladesh. However, as clinical management, its equally important to restore the women's dignity in the society with rehabilitation and reintegration. Challenges is still persisting in functional of the system and effective collaboration between the different ministry of the government of resolve the condition.

Passages Through India offers a study of the phenomenon of Western Indophilia: romanticised engagements around Hindu ideas of India. It argues that affective practices cultivated between major Indian guru-figures (Gandhi, Tagore and Vivekananda) and their white disciples serviced a larger politics of respectability, tied to exigencies of Indian cultural and nationalist politics. Indophile deployments in transnational projects like the abolition of indentured labour and global Hinduism, while anti-colonial, were not quite emancipatory. Such deployments - in Africa, America, Fiji and India - frequently reproduced deep hierarchies around race, class, caste and gender. Unifying distinct strands of western discipleship within a shared tradition of Indophilia, Passages Through India offers a new methodological framework that situates self and subjectivity as central to processes of global mobility and migration

Asian Megatrends assesses the key drivers transforming Asia over the next two decades. The rise of China is transforming the Asia-Pacific, while India and Indonesia are also rising Asian powers that are changing the shape of the Asian economic landscape. However Asia also faces tremendous economic and social challenges over the long-term.

The pharmaceutical industry needs a shot in the arm - and not a moment too soon. The executive suite is mired in a bygone era, a time when extensive, well-funded pharmaceutical R&D produced blockbuster drugs, kept everything in-house and reaped the financial rewards. But that way of working needs to change. Executives now need to know what the technologists in their companies are doing in order to survive the next decade. Written for those new to industry, as well as for experienced professionals or specialists looking to expand their knowledge, this book is a must-read for business executives and information technologists alike. Pharma's Prescription bridges the knowledge gap between current business practices and the most valuable technologies today. This book is filled with practical, real-life examples from industry and is a straightforward guide for all pharmaceutical and information technology executives who need to improve their businesses. Focuses on practical solutions that are easily incorporated in your day-to-day work Integrates business operations and information technology Highlights the industry's top turn-around stories Discusses pharmaceutical industry trends, growth opportunities, innovation drivers, regulatory complexities, and emerging market operations.

Since its enactment in 1970, the Nuclear Non-proliferation Treaty has become one node of a massive, sprawling, multibillion-dollar regime that is considered essential to slowing the proliferation of nuclear weapons and weapons technology. According to Shampa Biswas, these well-intentioned efforts to halt the spread of nuclear weapons deflect attention from a hierarchical global nuclear order dominated by powerful states and capitalist interests that benefit from the status quo. In Nuclear Desire, Biswas proposes that pursuit and production of nuclear power are sustained by this unequal global order whose persistent and daily harmful effects are experienced by some of the most vulnerable bodies around the world. -- from back cover

With traditional growth engines failing, the world is looking to Asia for economic salvation. This book charts the rise of China, India and ASEAN nations, who are increasingly being seen as the new growth drivers for the world, and discusses the imminence of a new global economic order.